Midwest Oral and Maxillofacial Surgery P C
NPI 1558416883 · Oral and Maxillofacial Surgery (Dentist) · Fort Wayne, IN
Midwest Oral and Maxillofacial Surgery P C is a Oral and Maxillofacial Surgery (Dentist) organization in Fort Wayne, IN (NPI 1558416883).
Provider details
- NPI number
- 1558416883
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michael Iczkovitz, President(260) 484-9990
- License
- 54000677 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2009-03-26
Frequently asked questions
- What is Midwest Oral and Maxillofacial Surgery P C's NPI number?
- Midwest Oral and Maxillofacial Surgery P C's National Provider Identifier (NPI) is 1558416883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midwest Oral and Maxillofacial Surgery P C?
- Midwest Oral and Maxillofacial Surgery P C is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Midwest Oral and Maxillofacial Surgery P C located?
- Midwest Oral and Maxillofacial Surgery P C's practice location on file with NPPES is 7230 Engle Rd, Fort Wayne, IN 46804-2209.
- What is Midwest Oral and Maxillofacial Surgery P C's phone number?
- The practice phone number listed in the NPPES registry for Midwest Oral and Maxillofacial Surgery P C is (260) 432-5566.
- Who is the authorized official for Midwest Oral and Maxillofacial Surgery P C?
- The authorized official listed on Midwest Oral and Maxillofacial Surgery P C's NPPES record is Michael Iczkovitz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midwest Oral and Maxillofacial Surgery P C's NPI active?
- Yes — Midwest Oral and Maxillofacial Surgery P C's NPI (1558416883) is active in the NPPES registry as of the last update on 2009-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.