Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Max Forni DMD PA

Organization General Practice Dentistry · NPI 1053540153

Max Forni DMD PA provides General Practice Dentistry in Lake Wales, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 State Road 60 E
Lake Wales, FL 33853-4240 Not confirmed with CMS for 17 years — call before visiting
Phone: (863) 676-6021
Fax: (863) 679-6406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN15652 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN18156 (FL)

Record details

NPI number1053540153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Forni — President · (863) 676-6021
NPI enumeratedJuly 9, 2009
Last updated in NPPESJuly 9, 2009
Mailing address701 State Road 60 E, Lake Wales, FL 33853-4240

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