OrganizationActive
Lmg Inc
NPI 1891234498 · Oral and Maxillofacial Pathology Dentistry · Mount Pleasant, WI
Provider details
- NPI number
- 1891234498
- 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
6211 Durand Ave
Suite 202
Mount Pleasant, WI 53406-4956
Phone: (262) 598-9901
Fax: (262) 898-3951
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.