| Nick Weiss DDS LLC | |
|
2801 E Carowinds Ct Bloomington IN 47401-9716 | |
| (262) 227-1348 | |
| Not Available |
| Full Name | Nick Weiss DDS LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2801 E Carowinds Ct, Bloomington, Indiana |
| Authorized Official Name and Position | Nick Weiss (DENTIST/OWNER) |
| Authorized Official Contact | 2622271348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nick Weiss DDS LLC 2801 E Carowinds Ct Bloomington IN 47401-9716 Ph: (262) 227-1348 | Nick Weiss DDS LLC 2801 E Carowinds Ct Bloomington IN 47401-9716 Ph: (262) 227-1348 |
| NPI Number | 1073904470 |
|---|---|
| Provider Enumeration Date | 02/07/2015 |
| Last Update Date | 02/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073904470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12011545A (Indiana) | Primary |
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