NPI
Jamie L. Mandigo
NPI 1730349432
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2008-06-16
- Last updated
- 2025-02-26
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Specialties
Licenses
- License WI
- 6242
Location
- Practice location
- 2574 Sun Valley Dr, Ste 100
- City
- Delafield WI
- Postal code
- 53018
- Phone
- (262) 337-9745
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Delafield, WI. 257 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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