Michael L Iczkovitz
D.D.S. | Oral and Maxillofacial Surgeon
1121 W Michigan St, Indianapolis
Indiana, 46202-5211
317-274-7433 317-274-2603
Maps & DirectionsMichael L Iczkovitz is a Indianapolis, 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
1121 W Michigan St, Indianapolis. Patients can reach him at
317-274-7433.
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: | 1121 W Michigan St, Indianapolis,
Indiana, 46202-5211 |
| Phone: | 317-274-7433 |
| Fax: | 317-274-2603 |
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: | 28 Apr, 2026 |
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 can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 700 Lane 440 Lake James,
Angola, Indiana |
| Zip: | 46703-9090 |
| Phone Number: | 260-348-4316 |
Patients can reach Michael L Iczkovitz at
1121 W Michigan St, Indianapolis, Indiana or can
call to book an appointment on 317-274-7433.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.