Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Mark G Prusacki, DDS

Individual provider General Practice Dentistry · NPI 1467667071

Dr. Mark G Prusacki, DDS practises 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.

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Practice location Address checks out

16415 S 46th Way
Phoenix, AZ 85048-0158 Not confirmed with CMS for 13 years — call before visiting
Phone: (480) 567-4212
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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

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