P Praxis·MD
● Active Type 2 · Organization Subpart

Clark Colville And Kelly Heetland Specialty Partners Of Texas Pllc

Dentist·Wichita Falls, TX· NPI 1356210538 · Enumerated 2025 · 0 years on NPI
Clark Colville And Kelly Heetland Specialty Partners Of Texas Pllc is 1 of 1850 dentist organizations in Texas.
NPI age
— years
Enumerated 2025-11-04
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Richardson
Director Of Rcm
Last NPPES update
2026-01-08
Source: monthly bulk 2026-05

How this organization compares

Across 1850 active dentist providers in Texas.

NPI age
0 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-11Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
2211 Midwestern Pkwy Ste 1
Wichita Falls, TX 763082300
📞 9406912911
Mailing address
820 W 42nd St
Scottsbluff, NE 693614708
📞 3082600241

Authorized official

Krystal Richardson
Director Of Rcm
📞 2149347995

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    taxonomy 1223X0400X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Heetland and Heetland Orthodontics
    Type code 3 recorded 2026-01-08

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Subpart of Clark Colville And Kelly Heetland Specialty Partners Of Texas Pllc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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