MIDWEST ORAL AND MAXILLOFACIAL SURGERY P C
NPI 1649316183
Dentist - Oral and Maxillofacial Surgery in Coldwater, MI

Q: What is Midwest Oral And Maxillofacial Surgery P C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since January 30, 2007

358 E CHICAGO ST, SUITE 200-A, COLDWATER, MI 49036(517) 279-1730(517) 279-1736 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Midwest Oral And Maxillofacial Surgery P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST ORAL AND MAXILLOFACIAL SURGERY P C (NPI 1649316183) is a healthcare organization registered as an oral and maxillofacial surgery in Coldwater, Michigan and active in the NPI registry since January 2007. The organization lists Michael L Iczkovitz, President, as its authorized official.

NPPES Registry Identity

NPI1649316183

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMIDWEST ORAL AND MAXILLOFACIAL SURGERY P C

Location Address358 E CHICAGO ST, SUITE 200-AColdwater, MI 49036-2072

Mailing Address3303 Trier RdFort Wayne, IN 46815-4768 · (260) 484-9990 · Fax (260) 484-6573

Phone(517) 279-1730

Fax(517) 279-1736

Organization SubpartNo

Authorized OfficialMichael L IczkovitzPresident · (260) 484-9990

Enumeration DateJanuary 30, 2007

Last NPPES UpdateMarch 26, 2009

✔ NPI 1649316183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MI · 16892

Definition

An oral and maxillofacial surgery dentist specialized in 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.

358 E CHICAGO ST, Coldwater, MI 49036

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Other Identifiers 2

Medicare UPINU02371

Medicare ID-Type UnspecifiedOM84650MI · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH CENTER OF BRANCH COUNTY

Clinic/Center (Rural Health)

358 E CHICAGO ST
COLDWATER, MI 49036

Branch County (517) 279-5252

BETTY DELONG N.P.

Nurse Practitioner

358 E CHICAGO ST, SUITE 203
COLDWATER, MI 49036

Branch County (517) 278-9364

KELSEY NORWOOD CPNP-PC, CPNP-AC

Nurse Practitioner (Pediatrics)

358 E CHICAGO ST
COLDWATER, MI 49036

Branch County (517) 279-5252

DR. ARIVOLI VEERAPPAN MD

Pediatrics

358 E CHICAGO ST, SUITE 202
COLDWATER, MI 49036

Branch County (517) 279-5252

MARCOS A RODRIGUEZ MD

Internal Medicine

358 E CHICAGO ST, SUITE 204E
COLDWATER, MI 49036

Branch County (517) 279-0400

DR. KAMAL PRADHAN MD

Pediatrics

358 E CHICAGO ST, SUITE 202
COLDWATER, MI 49036

Branch County (517) 279-5252

BRANCH INTERNAL MEDICINE CONSULTANTS PC

Internal Medicine

358 E CHICAGO ST
COLDWATER, MI 49036

Branch County (517) 523-3695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Oral And Maxillofacial Surgery P C's NPI number?

The NPI number for Midwest Oral And Maxillofacial Surgery P C is 1649316183. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Midwest Oral And Maxillofacial Surgery P C located?

Midwest Oral And Maxillofacial Surgery P C is located at 358 E Chicago St Suite 200-A, Coldwater, MI 49036. The listed phone number is (517) 279-1730.

What is Midwest Oral And Maxillofacial Surgery P C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Midwest Oral And Maxillofacial Surgery P C was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.