MAX FORNI D.M.D.
NPI 1356435473
Dentist - General Practice in Lake Wales, FL

Q: What is Max Forni's NPI number?

The NPI number for Max Forni is 1356435473. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Max Forni'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 Max Forni was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 03, 2006PECOS Enrolled

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 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Max Forni D.m.d. NPPES

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

MAX FORNI D.M.D. (NPI 1356435473) is an individual general practice provider in Lake Wales, Florida, licensed in Florida (15652) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356435473

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMAX FORNICredential: D.M.D.

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

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1356435473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · 15652

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Forni D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33853 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MAX FORNI DMD P.A.

Dentist (General Practice)

701 STATE ROAD 60 E
LAKE WALES, FL 33853

Polk County (863) 676-6021

DR. SAMUEL THOMAS PERO IV D.M.D.

Dentist

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's NPI number?

The NPI number for Max Forni is 1356435473. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Max Forni located?

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

What is Max Forni's specialty?

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

Is Max Forni enrolled in Medicare?

Yes. Max Forni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Max Forni was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.