Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midwest Oral and Maxillofacial Surgery P C

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1598781106

Midwest Oral and Maxillofacial Surgery P C is an Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

3303 Trier Rd
Fort Wayne, IN 46815-4768
Phone: (260) 484-9990
Fax: (260) 484-6573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 54000677 (IN)

Record details

NPI number1598781106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Iczkovitz — President · (260) 484-9990
NPI enumeratedJuly 15, 2006
Last updated in NPPESOctober 12, 2010
Mailing address3303 Trier Rd, Fort Wayne, IN 46815-4768

Other providers in Fort Wayne