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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone: (212) 305-6100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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

Other providers in Chicago