OrganizationActive
Lmg Inc
NPI 1063951663 · Oral and Maxillofacial Pathology Dentistry · Appleton, WI
Provider details
- NPI number
- 1063951663
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Parent organization
- Lmg Inc
- Organization subpart
- Yes
- Authorized official
- Jay Mackman, Owner-Director(414) 476-9400
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
W3134 Van Roy Rd
Appleton, WI 54915-3982
Phone: (920) 882-1710
Fax: (920) 882-1708
Street-level locationGet directions
Mailing address
2626 N 76th St
Wauwatosa, WI 53213-1137
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2023-08-28
- Certified
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.