Active NPI
Mark Robert Polle, DDS
- Dentist
- Prosper, TX
National Provider Identifier
1346893104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35462 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark R. Polle, DDS. PLLC | Current | 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.
-
- Dental Clinic/Center
- Prosper, TX
- NPI 1831074269
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.