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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1235159930

Michael L Iczkovitz, DDS is an Oral and Maxillofacial Surgery (Dentist) in Indianapolis, Indiana. Licensed in Indiana and Michigan. Registered with an NPI since 2006.

Licensed in
IN, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1121 W Michigan St
Indianapolis, IN 46202-5211
Phone: (317) 274-7433
Fax: (317) 274-2603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12008664 (IN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2901011066 (MI)

Record details

NPI number1235159930
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address700 Lane 440 Lake James, Angola, IN 46703-9090

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