Individual
MICHAEL GNEZDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 ANDREW AVE, LA PORTE, IN 46350-5339
(708) 752-6591
Mailing address
805 WELLINGTON DR, DYER, IN 46311-1253
(708) 752-6591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12015014A
IN
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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