# NICK WEISS DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073904470
- **Authorized official:** DR. NICK WEISS DDS (DENTIST/OWNER)
- **Authorized official phone:** (262) 227-1348

## Contact information

- **Practice address:** 2801 E CAROWINDS CT, BLOOMINGTON, IN 47401-9716
- **Practice address phone:** (262) 227-1348
- **Mailing address:** 2801 E CAROWINDS CT, BLOOMINGTON, IN 47401-9716
- **Mailing address phone:** (262) 227-1348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011545A | IN | Yes |

## Other

- **Enumeration date:** 02/07/2015
- **Last updated:** 02/07/2015