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JAY L. MACKMAN, DDS
NPI 1003116765
Dentist - General Practice in Wauwatosa, WI

Active since October 28, 2010
2626 N 76TH ST, WAUWATOSA, WI 53213(414) 476-9400 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jay L. Mackman, Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY L. MACKMAN, DDS (NPI 1003116765) is a healthcare organization registered as a general practice in Wauwatosa, Wisconsin and active in the NPI registry since October 2010. The organization lists Karien Bakker, Coo, as its authorized official.

NPPES Registry Identity

NPI1003116765
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAY L. MACKMAN, DDS
Location Address2626 N 76TH STWauwatosa, WI 53213-1137
Mailing Address2626 N 76th StWauwatosa, WI 53213-1137
Phone(414) 476-9400
Organization SubpartNo
Authorized OfficialKarien BakkerCoo · (414) 774-7794
Enumeration DateOctober 28, 2010
✔ NPI 1003116765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2626 N 76TH ST, Wauwatosa, WI 53213
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHY LOUISE SHEBESTA PT
Physical Therapist
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
MARLON WILLIAMS
Physical Therapy Assistant
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
INGRID L BARBER
Physical Therapy Assistant
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
AFFILIATED HEALTH OF WISCONSIN LTD.
Physical Medicine & Rehabilitation (Pain Medicine)
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 774-7794
ROBERT WALKER MIER D.D.S.
Dentist (Oral and Maxillofacial Pathology)
2626 N 76TH ST, SUITE 105
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400
GINA CIFALDI M.S., R.T.(R)
Radiologic Technologist
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 771-9171
DR. DANIEL E TACHE D.M.D.,F.A.G.D.
Dentist
2626 N 76TH ST
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400
PATRICIA L PITTMAN
Dental Hygienist
2626 N 76TH ST, SUITE101
WAUWATOSA, WI 53213
Milwaukee County (414) 476-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay L. Mackman, Dds's NPI number?

The NPI number for Jay L. Mackman, Dds is 1003116765. It was assigned to this organization in the NPPES registry on October 28, 2010.

Where is Jay L. Mackman, Dds located?

Jay L. Mackman, Dds is located at 2626 N 76th St, Wauwatosa, WI 53213. The listed phone number is (414) 476-9400.

What is Jay L. Mackman, Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jay L. Mackman, Dds was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.