Individual provider Active NPI

Mark Robert Polle, DDS

  • Dentist
  • Prosper, TX
National Provider Identifier
1346893104
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35462 Issued in TX
Practice address
2700 W. Frontier Parkway
120
Prosper, TX 75078
Phone
(214) 216-0843
Fax
(214) 278-6603
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35462 TX Primary

Addresses

Primary practice location

2700 W. Frontier Parkway
120
Prosper, TX 75078

Mailing address

2700 W. Frontier Parkway
120
Prosper, TX 75078
Phone (214) 216-0843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35462TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark R. Polle, DDS. PLLC CurrentSince Aug 10, 2025 Accepting new patients

Locations

2700 W Frontier Pkwy
Ste 120
Prosper, TX 75078
Phone (214) 216-0843

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1346893104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W. FRONTIER PARKWAY",
            "address_2": "120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "214-216-0843",
            "fax_number": "214-278-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W. FRONTIER PARKWAY",
            "address_2": "120",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "75078",
            "telephone_number": "214-216-0843",
            "fax_number": "214-278-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLE",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.