DR. THEODORE A FORNETTI DDS
NPI 1083861348
Dentist - General Practice in Iron Mountain, MI

Q: What is Theodore Fornetti's NPI number?

The NPI number for Theodore Fornetti is 1083861348. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Q: What is Theodore Fornetti's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Fornetti was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 19, 2008

1115 S HEMLOCK ST, SUITE 1, IRON MOUNTAIN, MI 49801(906) 774-2776(906) 774-6949 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Theodore A Fornetti Dds NPPES

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

DR. THEODORE A FORNETTI DDS (NPI 1083861348) is an individual general practice provider in Iron Mountain, Michigan, licensed in Michigan (2901017898) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1083861348

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. THEODORE A FORNETTICredential: DDS

Location Address1115 S HEMLOCK ST, SUITE 1Iron Mountain, MI 49801-3800

Mailing Address1115 S Hemlock St, Suite 1Iron Mountain, MI 49801-3800 · (906) 774-2776 · Fax (906) 774-6949

Phone(906) 774-2776

Fax(906) 774-6949

Sole ProprietorYes

Enumeration DateAugust 19, 2008

✔ NPI 1083861348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901017898

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.

1115 S HEMLOCK ST, Iron Mountain, MI 49801

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Other Providers at the Same Location NPPES 10

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

MRS. VIRGINIA DETERMAN HENKE PA-MPAS

Physician Assistant

1115 S HEMLOCK ST, SUITE 6
IRON MOUNTAIN, MI 49801

Dickinson County (906) 779-4270

MRS. EMMA CRISTINA DIPONIO MD

Radiology (Diagnostic Radiology)

1115 S HEMLOCK ST, SUITE 3
IRON MOUNTAIN, MI 49801

Dickinson County (906) 282-8500

TEOMAR IMAGING PLC

Phlebology

1115 S HEMLOCK ST, SUITE 3
IRON MOUNTAIN, MI 49801

Dickinson County (855) 834-6292

BARRY D. JOHNSON MD PC

Psychiatry & Neurology (Neurology)

1115 S HEMLOCK ST, SUITE 4
IRON MOUNTAIN, MI 49801

Dickinson County (906) 776-1570

DR. DANE BAKER O.D.

Optometrist

1115 S HEMLOCK ST, SUITE 5
IRON MOUNTAIN, MI 49801

Dickinson County (906) 282-0669

DR. ROBERT LEONARD BAKER O.D.

Optometrist

1115 S HEMLOCK ST, SUITE 5
IRON MOUNTAIN, MI 49801

Dickinson County (906) 774-6288

TEOMAR IMAGING

Radiology (Vascular & Interventional Radiology)

1115 S HEMLOCK ST, SUITE 3
IRON MOUNTAIN, MI 49801

Dickinson County (855) 834-6292

NORTHERN ORTHOTICS & PROSTHETICS

Prosthetic/Orthotic Supplier

1115 S HEMLOCK ST
IRON MOUNTAIN, MI 49801

Dickinson County (906) 553-7350

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 Theodore Fornetti's NPI number?

The NPI number for Theodore Fornetti is 1083861348. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Theodore Fornetti located?

Theodore Fornetti practices at 1115 S Hemlock St Suite 1, Iron Mountain, MI 49801. The listed phone number is (906) 774-2776.

What is Theodore Fornetti'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 Theodore Fornetti was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.