ROBERT F. COLWELL JR, DDS, PC (NPI# 1629354667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629354667 |
| Entity Type | Organization |
| Organization Name | ROBERT F. COLWELL JR, DDS, PC |
| Other Organization Name | SOUTHROADS DENTAL &/OR DREAM DENTAL CARE |
| Practice Address |
712 Fort Crook Rd N Bellevue NE 68005-4558 |
| Practice Telephone | 4027336066 |
| Practice Fax Number | 4027330899 |
| Mailing Telephone | 4027336066 |
| Mailing Fax Number | 4027330899 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | ROBERT FRAZIER COLWELL JR. (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4027336066 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
8073 | IA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6236 | NE | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 15558428003 | 05 | |
| NE | 10025204800 | 05 |
| Other Name | Type Code |
|---|---|
| Southroads Dental &/or Dream Dental Care | Doing Business As Name - Organization |
| Street Address |
712 FORT CROOK RD N |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770674848 | Robert Frazier Colwell Jr. | Dentist | 712 Fort Crook Rd N, Bellevue, NE 68005-4558 | 2006-09-27 |
| 1972949683 | Richard Arthur Duvall | Dentist | 712 Fort Crook Rd N, Bellevue, NE 68005-4558 | 2013-05-21 |
| 1710276043 | Namita Sakhuja | Dentist | 712 Fort Crook Rd N, Bellevue, NE 68005-4558 | 2011-04-07 |
| 1811188196 | Midlands Oral Health LLC | Dentist | 712 Fort Crook Rd N, Bellevue, NE 68005-4558 | 2007-08-05 |
| 1366585754 | Edward Sterba | Dentist | 712 Fort Crook Rd N, Bellevue, NE 68005-4558 | 2007-02-15 |
| 1558402982 | Brian Dean Newell | Dentist | 712 Fort Crook Rd N, Bellevue, NE 68005-4558 | 2007-02-09 |
| 1558428003 | Midlands Dental Group LLC | Dentist | 712 Fort Crook Rd N, Bellevue, NE 68005-4558 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| Find all providers in zip 68005 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363972 | Kemahli, LLC | Clinic/Center | 15710 Ne 24th St Ste B, Bellevue, WA 98008-2444 | 2020-07-21 |
| 1700432390 | Kitts & Kitts Pllc | Clinic/Center | 13715 Ne Bel Red Rd, Bellevue, WA 98005-4570 | 2019-08-10 |
| 1265086029 | Overlake Family Dental | Clinic/Center | 2020 116th Ave Ne Ste 220, Bellevue, WA 98004-3059 | 2019-07-30 |
| 1235621046 | Preet Taneja Dds, Pllc | Clinic/Center | 14655 Ne Bel Red Rd # F103, Bellevue, WA 98007-3900 | 2018-06-06 |
| 1699202598 | Hansen & Lintakoon Dds Pllc | Clinic/Center | 12330 Ne 8th St Ste 200, Bellevue, WA 98005-3187 | 2017-05-23 |
| 1306392022 | Zan Xu Dds of Bellevue Pllc | Clinic/Center | 1160 106th Ave Ne, Bellevue, WA 98004 | 2016-09-01 |
| 1871048421 | Joseph Mecca, Dmd, Pllc | Clinic/Center | 14535 Bel Red Rd Ste 102, Bellevue, WA 98007-3907 | 2016-08-23 |
| 1871046151 | Vikram Likhari Bds, Ms | Clinic/Center | 13635 Bel Red Rd, Bellevue, WA 98005-4555 | 2016-08-03 |
| 1366898231 | Michael Gile Dds Pllc | Clinic/Center | 14420 Bel Red Rd Ste 205, Bellevue, WA 98007-3930 | 2016-05-10 |
| 1366822017 | Davinci Dental | Clinic/Center | 909 112th Ave Ne Ste P104, Davinci Dental, Bellevue, WA 98004-8589 | 2015-06-08 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.