Individual provider · Type 1 NPI

Michael L. Iczkovitz, DDS

Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN

NPI number 1235159930 Active

Practice location

1121 W Michigan St
Indianapolis, IN 46202-5211

Call (317) 274-7433 Map

Fax (317) 274-2603

Mailing address

700 Lane 440 Lake James
Angola, IN 46703-9090

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2901011066 (MI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12008664 (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1235159930

Michael L. Iczkovitz, DDS's National Provider Identifier is 1235159930, issued on Jul 19, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 28, 2026.