OrganizationActive
Lmg Inc
NPI 1073391447 · Oral and Maxillofacial Pathology Dentistry · Oak Creek, WI
Provider details
- NPI number
- 1073391447
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jay Mackman, President/Director(414) 476-9400
Specialties & taxonomies
Dental Providers
Practice location
7001 S Howell Ave Ste 800
Oak Creek, WI 53154-1408
Phone: (414) 856-9990
Approximate (ZIP-level) locationGet directions
Mailing address
2626 N 76th St Ste 101
Wauwatosa, WI 53213-1137
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.