Midwest Oral And Maxillofacial Surgery P C is a Oral and Maxillofacial Dental Clinic in Fort Wayne, Indiana. It is located at 7230 Engle Rd, Suite 301, Fort Wayne, IN and its contact number is 260-432-5566. The authorized person for Midwest Oral And Maxillofacial Surgery P C is Dr. Michael L Iczkovitz
who is President of the clinic and their contact number is 260-484-9990. The primary license number for Midwest Oral And Maxillofacial Surgery P C is 54000677 (Oral and Maxillofacial Surgery) in Indiana. Midwest Oral And Maxillofacial Surgery P C Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Midwest Oral And Maxillofacial Surgery P C Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Midwest Oral And Maxillofacial Surgery P C
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
7230 Engle Rd, Suite 301, Fort Wayne, Indiana, 46804-2209
Phone:
260-432-5566
Fax:
260-432-5567
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Michael L Iczkovitz
Position:
President
Contact Number:
260-484-9990
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Midwest Oral And Maxillofacial Surgery P C clinic are as mentioned below.
NPI Number:
1558416883
NPI Enumeration Date:
25 Jan, 2007
NPI Last Update On:
26 Mar, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Midwest Oral And Maxillofacial Surgery P C are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
54000677
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200147450
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Midwest Oral And Maxillofacial Surgery P C 3303 Trier Rd, Fort Wayne, Indiana
Zip:
46815-4768
Phone Number:
260-484-9990
Fax Number:
260-484-6573
Patients can reach Midwest Oral And Maxillofacial Surgery P C at 7230 Engle Rd, Suite 301, Fort Wayne, Indiana or can call to book an appointment on 260-432-5566. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.