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Lmg, Inc

NPI 1134235427ActiveOrganization· Dentist, Oral and Maxillofacial Pathology· Wauwatosa, WI

Dentist, Oral and Maxillofacial Pathology in Wauwatosa, Wisconsin, registered in NPPES in August 2006. The authorized official on file is Jay L. Mackman, D.D.S., Owner-President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1134235427
StatusActive
Entity typeOrganization
NPI issuedAug 21, 2006
Last updated in NPPESJan 19, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Oral and Maxillofacial Pathology Primary1223P0106X—WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other Dentist, Oral and Maxillofacial Pathology providers in Wauwatosa

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