Healthcare Provider Details

I. General information

NPI: 1356271092
Provider Name (Legal Business Name): JULIE M FORTE DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2569 COOLIDGE HWY
BERKLEY MI
48072-1572
US

IV. Provider business mailing address

2569 COOLIDGE HWY
BERKLEY MI
48072-1572
US

V. Phone/Fax

Practice location:
  • Phone: 284-546-2030
  • Fax:
Mailing address:
  • Phone: 284-546-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIE MARIE FORTE
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 284-546-2030