Individual
DR. DAVID LOUIS SZANDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22201 MOROSS RD STE 155, DETROIT, MI 48236-2152
(313) 499-4775
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022672
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901022672
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901022672
DENTAL LICENSE
MI
01
—
5315093446
CONTROLLED SUBSTANCE LICENSE
—
Enumeration date
03/11/2019
Last updated
03/16/2026
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