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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAX FORNI DMD P.A.

Active Organization

MAX FORNI DMD P.A. is a General Dentistry organization located in LAKE WALES, Florida. NPI 1053540153 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LAKE WALES, FL

Registration Details

NPI Number
1053540153
Provider Type
Organization
NPI Issued
Jul 9, 2009 (17.07554628602 yrs)
Last Updated
Jul 9, 2009
Licenses
DN18156 (FL)
DN15652 (FL)

Practice Information

Address
701 STATE ROAD 60 E
LAKE WALES, FL, 338534240
Browse FL providers · Browse ZIP 33853
Phone
8636766021
Fax
8636796406
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.