# LICENSE TO DRILL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atrium Dental Bloomington
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639057789
- **Authorized official:** NICKOLAUS M WEISS DDS (OWNER)
- **Authorized official phone:** (812) 279-9767

## Contact information

- **Practice address:** 212 E WINSLOW RD, BLOOMINGTON, IN 47401-8657
- **Practice address phone:** (812) 337-8888
- **Mailing address:** 212 E WINSLOW RD, BLOOMINGTON, IN 47401-8657
- **Mailing address phone:** (812) 337-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2025
- **Last updated:** 08/26/2025