Clark D Colville, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15902 Issued in TX

Practice address

205 S State Highway 46
Seguin, TX 78155-7504

Phone

(830) 372-9811

Fax

(830) 303-0149

NPI assigned

Jan 23, 2007

Last updated

Aug 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Orthodontic Specialists of Seguin, P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seguin, TX
  • NPI 1063560514
  NPD (past) Authorized official
• Clark Colville and Kelly Heetland Specialty Partners of Texas PLLC

  dba Orthodontic Specialists of San Marcos

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seguin, TX
  • NPI 1386522233
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1689728909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S STATE HIGHWAY 46",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781557504",
            "telephone_number": "830-372-9811",
            "fax_number": "830-303-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S STATE HIGHWAY 46",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781557504",
            "telephone_number": "830-372-9811",
            "fax_number": "830-303-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 Medical Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786668496",
            "country_code": "US",
            "telephone_number": "512-782-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLVILLE",
        "first_name": "CLARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "15902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Colville and Kelly Heetland Specialty Partners of Texas PLLC (Orthodontic Specialists of San Marcos)
• Danie Marie Clifton, LVN
• Clinic Ketamine PC (Comprehensive Pain Management Services)
• Sheri Kay Colbath
• Triniqua Collins
• Jim T Colvin Jr., MD
• Community Council of South Central Texas, Inc.
• Community Health Centers of South Central Texas Inc (Seguin Community Health Center)
• Compassioncoalition, Inc
• Robert Dale Compton, C-PED.

• Orthodontics and Dentofacial Orthopedics Dentistry in Seguin, TX
• Providers in Seguin, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; 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.