Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark G Prusacki, DDS

Individual provider General Practice Dentistry · NPI 1467667071

Dr. Mark G Prusacki, DDS is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

16415 S 46th Way
Phoenix, AZ 85048-0158
Phone: (480) 567-4212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4705 (AZ)

Record details

NPI number1467667071
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESJune 27, 2013
Mailing address16415 S 46th Way, Phoenix, AZ 85048-0158

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