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General NPI Number Information
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NPI Number | 1831074269
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Entity Type | Organization
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Legal Business Name | MARK R. POLLE, DDS. PLLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2700 W. FRONTIER PARKWAY STE. 120
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City | PROSPER
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State | TX
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Zip | 75078
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Country | US
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Telephone | 214-216-0843
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Fax | 214-278-6603
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Provider Business Mailing Address
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Address Line | 1101 LAWNDALE ST
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City | CELINA
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State | TX
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Zip | 75009-1792
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Country | US
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Telephone | 712-253-9420
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MARK R POLLE
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Credential | DDS
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Telephone | 712-253-9420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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