Mark Prusacki, DDS
NPI 1467667071 · General Practice Dentistry · Phoenix, AZ
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Prusacki, DDS is a General Practice Dentistry provider in Phoenix, AZ (NPI 1467667071).
Provider details
- NPI number
- 1467667071
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 4705 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2013-06-27
Frequently asked questions
- What is Mark Prusacki's NPI number?
- Mark Prusacki's National Provider Identifier (NPI) is 1467667071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Prusacki's specialty?
- Mark Prusacki is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mark Prusacki located?
- Mark Prusacki's practice location on file with NPPES is 16415 S 46th Way, Phoenix, AZ 85048-0158.
- What is Mark Prusacki's phone number?
- The practice phone number listed in the NPPES registry for Mark Prusacki is (480) 567-4212.
- Does Mark Prusacki accept Medicare?
- Mark Prusacki is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Prusacki's NPI active?
- Yes — Mark Prusacki's NPI (1467667071) is active in the NPPES registry as of the last update on 2013-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.