Daniel John Fornetti, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020539 Issued in MI

Practice address

100 S. Stephenson Ave.
Iron Mountain, MI 49801

Phone

(906) 774-0100

Fax

(905) 774-8904

NPI assigned

Apr 13, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John T. Fornetti DDS

  • General Practice Dentistry
  • Iron Mountain, MI
  • NPI 1477240646
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1902196702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S. STEPHENSON AVE.",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-774-0100",
            "fax_number": "905-774-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. STEPHENSON AVE.",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-774-0100",
            "fax_number": "905-774-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNETTI",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011018508",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jo Floodstrand, BSN, RN
• Kelly Rae Floriano, P.A.
• William Thomas Floyd III, PH.D.
• Focus on Function Physical Therapy, P.C.
• Anthony Joseph Fornetti, DDS
• John Thomas Fornetti, DDS
• Mary Therese Fornetti, MMS PA-C
• Paul J Fornetti, D.D.S.
• Theodore A Fornetti, DDS
• Kristen Scott Forstrom, APNP, NP-C

• Dentist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.