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 is a 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
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

Other providers in Lake Wales