| Michael L Iczkovitz, DDS | |
|
3303 Trier Rd, Fort Wayne, IN 46815-4768 | |
| (260) 484-9990 | |
| (260) 484-6573 |
| Full Name | Michael L Iczkovitz |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3303 Trier Rd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235159930 | NPI | - | NPPES |
| 100079980 | Medicaid | IN | |
| 000000086698 | Other | IN | BCBS/ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12008664 (Indiana) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901011066 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Iczkovitz, DDS 3303 Trier Rd, Fort Wayne, IN 46815-4768 Ph: (260) 484-9990 | Michael L Iczkovitz, DDS 3303 Trier Rd, Fort Wayne, IN 46815-4768 Ph: (260) 484-9990 |
Dr. Bryan David Braasch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6821 Woodcrest Dr, Fort Wayne, IN 46815 Phone: 260-417-4981 | |
Dr. Bryan Mcguigan Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 N Clinton St, Fort Wayne, IN 46825 Phone: 260-482-1551 Fax: 260-484-4537 | |
James A Shupe Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805 Phone: 260-422-8419 Fax: 260-422-3591 | |
Dr. Roger Paul Valliere, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614 | |
Dr. Lora Wonderly, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4616 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-8596 | |
Dr. Allison Bergdoll, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825 Phone: 260-490-3554 | |
Matthew Gotsch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-632-8486 |