# NORWAY DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962509117
- **Authorized official:** DR. KRISTY MARIA FORNETTI (PRESIDENT - DENTIST)
- **Authorized official phone:** (906) 563-8010

## Contact information

- **Practice address:** 800 S CASE ST, NORWAY, MI 49870
- **Practice address phone:** (906) 563-8010
- **Practice address fax:** (906) 563-5862
- **Mailing address:** PO BOX 69, 800 S CASE ST, NORWAY, MI 49870
- **Mailing address phone:** (906) 563-8010
- **Mailing address fax:** (906) 563-5862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901017470 | MI | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020