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Michael L Iczkovitz

D.D.S. | Oral and Maxillofacial Surgeon



  
  3303 Trier Rd, Fort Wayne
  Indiana, 46815-4768

  260-484-9990    260-484-6573 Maps & Directions
Michael L Iczkovitz is a Fort Wayne, Indiana based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Michael L Iczkovitz is 12008664 for Oral and Maxillofacial Surgery in Indiana. His current practice location is 3303 Trier Rd, Fort Wayne. Patients can reach him at 260-484-9990.

Michael L Iczkovitz 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 Profile:
Michael L Iczkovitz speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Michael L Iczkovitz
Specialization: Oral and Maxillofacial Surgeon
Gender:Male
Credentials: D.D.S.
Accepts Medicare Assignment:No
Practice Address:3303 Trier Rd, Fort Wayne,
Indiana, 46815-4768
Phone:260-484-9990
Fax:260-484-6573
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 are as mentioned below.
NPI Number: 1235159930
NPI Enumeration Date: 19 Jul, 2006
NPI Last Update On: 26 Mar, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael L Iczkovitz are as mentioned below.
License NumberSpecializationStateStatus
12008664Oral and Maxillofacial Surgery IndianaPrimary
2901011066Oral and Maxillofacial Surgery MichiganSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael L Iczkovitz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100079980MedicaidIndiana
000000086698OtherIndianaBCBS/ANTHEM
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3303 Trier Rd,
Fort Wayne, Indiana
Zip: 46815-4768
Phone Number: 260-484-9990
Fax Number: 260-484-6573
Patients can reach Michael L Iczkovitz at 3303 Trier Rd, Fort Wayne, Indiana or can call to book an appointment on 260-484-9990.
Comments/ Reviews:
Read all the reviews posted for Michael L Iczkovitz below. You may also share your own experience with Michael L Iczkovitz. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.
Michael L Iczkovitz Details: Complete Profile Professional Identification Codes Medical Licenses Other Medical Identifiers Business Mailing Address Book Appointment Patient Reviews
Map Location:

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