Organization
LMG INC
Active
Parent organization
LMG INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LMG INC
Authorized official
JAY L MACKMAN D.D.S. (OWNER-DIRECTOR)
(414) 476-9400
Entity
Organization
Contact information
Practice address
W3134 VAN ROY RD, APPLETON, WI 54915-3982
(920) 882-1710
(920) 882-1708
Mailing address
2626 N 76TH ST, SUITE 105, WAUWATOSA, WI 53213-1137
(414) 476-9400
(414) 755-4769
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
08/28/2023
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