| License To Drill Llc | |
|
212 E Winslow Rd Bloomington IN 47401-8657 | |
| (812) 337-8888 | |
| Not Available |
| Full Name | License To Drill Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 212 E Winslow Rd, Bloomington, Indiana |
| Authorized Official Name and Position | Nickolaus M Weiss (OWNER) |
| Authorized Official Contact | 8122799767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| License To Drill Llc 212 E Winslow Rd Bloomington IN 47401-8657 Ph: (812) 337-8888 | License To Drill Llc 212 E Winslow Rd Bloomington IN 47401-8657 Ph: (812) 337-8888 |
| NPI Number | 1639057789 |
|---|---|
| Provider Enumeration Date | 08/26/2025 |
| Last Update Date | 08/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639057789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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