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

Mark Prakash

Individual provider Dentist · NPI 1043914898

Mark Prakash is a Dentist in Chicago, Illinois. Graduated from Columbia University College of Dental Medicine in 2024, 2 years ago. Licensed in Illinois.

Years since qualifying
2
Trained at
Columbia University College of Dental Medicine
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone: (212) 305-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019036491 (IL)

Record details

NPI number1043914898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address3860 W Ogden Ave, Chicago, IL 60623-2460

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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