OrganizationActive
Lmg Inc
NPI 1730628330 · Oral and Maxillofacial Pathology Dentistry · Milwaukee, WI
Provider details
- NPI number
- 1730628330
- 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
Practice location
200 W Silver Spring Dr
Suite 310
Milwaukee, WI 53217-5059
Phone: (414) 962-3100
Fax: (414) 962-9599
Approximate (ZIP-level) locationGet directions
Mailing address
2626 N 76th St
Wauwatosa, WI 53213-1137
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2017-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.