NICK WEISS DDS LLC NPI 1073904470

NPI Information

NPI: 1073904470
Provider Name: NICK WEISS DDS LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2801 E CAROWINDS CT
BLOOMINGTON, IN
ZIP 47401
Phone: (262) 227-1348
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NICK WEISS DDS LLC is a dental clinic center in Bloomington, IN. NICK WEISS DDS LLC NPI is 1073904470. The provider is registered as an organization entity type.

The provider's business location address is:

2801 E CAROWINDS CT
BLOOMINGTON, IN
ZIP 47401-716
Phone: (262) 227-1348

The provider's authorized official is Nick Weiss .
The authorized official title is Dentist/owner and has the following contact phone number (262) 227-1348.

The enumeration date for this NPI number is 2/7/2015 and was last updated on 2/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	12011545A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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