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MARK A POLENTZ DDS
NPI 1265688790
Dentist in Corona, CA

Active since August 15, 2008PECOS Enrolled
350 N MCKINLEY ST STE 101, CORONA, CA 92879(951) 736-1215 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark A Polentz Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A POLENTZ DDS (NPI 1265688790) is an individual dentist in Corona, California, licensed in California (30820) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265688790
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK A POLENTZCredential: DDS
Location Address350 N MCKINLEY ST STE 101Corona, CA 92879-6503
Mailing Address350 N Mckinley St Ste 101Corona, CA 92879-6503
Phone(951) 736-1215
Sole ProprietorNo
Enumeration DateAugust 15, 2008
✔ NPI 1265688790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 30820
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
350 N MCKINLEY ST STE 101, Corona, CA 92879
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A Polentz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Polentz's NPI number?

The NPI number for Mark Polentz is 1265688790. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Mark Polentz located?

Mark Polentz practices at 350 N Mckinley St Ste 101, Corona, CA 92879. The listed phone number is (951) 736-1215.

What is Mark Polentz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Polentz enrolled in Medicare?

Yes. Mark Polentz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Polentz was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.