ROBERT F. COLWELL JR DDS PC NPI 1629354667

NPI Information

  • NPI: 1629354667
  • Provider Name: ROBERT F. COLWELL JR, DDS, PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SOUTHROADS DENTAL &/OR DREAM DENTAL CARE
  • Address: 712 FORT CROOK RD N
    BELLEVUE, NE
    ZIP 68005
  • Phone: (402) 733-6066

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NPI Details

ROBERT F. COLWELL JR, DDS, PC is a dental clinic center in Bellevue, NE. ROBERT F. COLWELL JR, DDS, PC NPI is 1629354667. The provider is registered as an organization entity type.
The provider Is Doing Business As Southroads Dental &/or Dream Dental Care.

The provider's business location address is:

712 FORT CROOK RD N
BELLEVUE, NE
ZIP 68005-558
Phone: (402) 733-6066
Fax: (402) 733-0899

The provider's authorized official is Robert Frazier Colwell .
The authorized official title is President/owner and has the following contact phone number (402) 733-6066.

The enumeration date for this NPI number is 10/21/2011 and was last updated on 1/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental8073IOWANo
2261QD0000XClinic/CenterDental6236NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110025204800MEDICAIDNEBRASKA
215558428003MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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