Organization
LICENSE TO DRILL LLC
Active
Other names
Atrium Dental Bloomington
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLAUS M WEISS DDS (OWNER)
(812) 279-9767
Entity
Organization
Contact information
Practice address
212 E WINSLOW RD, BLOOMINGTON, IN 47401-8657
(812) 337-8888
Mailing address
212 E WINSLOW RD, BLOOMINGTON, IN 47401-8657
(812) 337-8888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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