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MAX FORNI DMD P.A.
NPI 1053540153
Dentist - General Practice in Lake Wales, FL

Active since July 09, 2009
701 STATE ROAD 60 E, LAKE WALES, FL 33853(863) 676-6021(863) 679-6406 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Max Forni Dmd P.a. NPPES

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

MAX FORNI DMD P.A. (NPI 1053540153) is a healthcare organization registered as a general practice in Lake Wales, Florida and active in the NPI registry since July 2009. The organization lists Max Forni, President, as its authorized official.

NPPES Registry Identity

NPI1053540153
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAX FORNI DMD P.A.
Location Address701 STATE ROAD 60 ELake Wales, FL 33853-4240
Mailing Address701 State Road 60 ELake Wales, FL 33853-4240 · (863) 676-6021 · Fax (863) 679-6406
Phone(863) 676-6021
Fax(863) 679-6406
Organization SubpartNo
Authorized OfficialMax ForniPresident · (863) 676-6021
Enumeration DateJuly 9, 2009
✔ NPI 1053540153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in FL · DN15652✔ Licensed in FL · DN18156
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
701 STATE ROAD 60 E, Lake Wales, FL 33853
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. SAMUEL THOMAS PERO IV D.M.D.
Dentist
701 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 676-6021
MAX FORNI D.M.D.
Dentist (General Practice)
701 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 676-6021
NEESHI RAKESH PATEL DMD
Dentist (General Practice)
701 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 563-3663

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 Max Forni Dmd P.A.'s NPI number?

The NPI number for Max Forni Dmd P.A. is 1053540153. It was assigned to this organization in the NPPES registry on July 9, 2009.

Where is Max Forni Dmd P.A. located?

Max Forni Dmd P.A. is located at 701 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 676-6021.

What is Max Forni Dmd P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Max Forni Dmd P.A. was last updated on July 9, 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.