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 Number
Specialization
State
Status
12008664
Oral and Maxillofacial Surgery
Indiana
Primary
2901011066
Oral and Maxillofacial Surgery
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael L Iczkovitz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100079980
Medicaid
Indiana
000000086698
Other
Indiana
BCBS/ANTHEM
Business Mailing Address:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.