# DR. ROBERT FRAZIER COLWELL JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770674848
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6236 | NE | Yes |
| 122300000X | Dentist | 8073 | IA | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 01/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025204800 | — | NE |
| 05 | — | 15558428003 | — | IA |