OrganizationActive
Lmg Inc
NPI 1790224491 · Oral and Maxillofacial Pathology Dentistry · Waukesha, WI
Provider details
- NPI number
- 1790224491
- 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
2727 N Grandview Blvd
Suite 100
Waukesha, WI 53188-6100
Phone: (262) 547-9422
Fax: (262) 548-0644
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.