Active NPIOrganization

Center For Oral And Implant Surgery Of Greenwich, LLC

Clinic/Center, Oral and Maxillofacial Surgery in Greenwich, Connecticut

NPI Number1194053942
Practice location
49 Lake Ave, Greenwich, CT 06830-4501
Fax
203-661-0155
Last updated
January 19, 2010

Center For Oral And Implant Surgery Of Greenwich, LLC is a healthcare organization based in Greenwich, CT. Center For Oral And Implant Surgery Of Greenwich, LLC practices in Greenwich, CT. The NPI Number for Center For Oral And Implant Surgery Of Greenwich, LLC is 1194053942. The current practice location address for Center For Oral And Implant Surgery Of Greenwich, LLC is 49 Lake Ave, Greenwich, CT 06830-4501 and can be reached out via phone at 203-661-4231 and via fax at 203-661-0155.

Provider Profile Details

NPI Number
1194053942
Provider Name
Center For Oral And Implant Surgery Of Greenwich, LLC
Provider Entity Type
Organization
Address
49 Lake Ave, Greenwich, CT 06830-4501
Phone Number
203-661-4231
Fax Number
203-661-0155
Primary Taxonomy
Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X
Organization Subpart
No
Authorized Official
Dr. Michele S. Bergen, DMD, MD · Partner · 203-661-4231
Provider Enumeration Date
December 4, 2009
Last Update Date
January 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Lake Ave
Greenwich, CT 06830-4501
Zip
06830-4501
Phone Number
203-661-4231
Fax Number
203-661-0155
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
49 Lake Ave
Greenwich, CT 06830-4501
City
Greenwich
State
CT
Zip
06830-4501
Phone Number
203-661-4231
Fax Number
203-661-0155

License Information

Taxonomy
Clinic/Center, Oral and Maxillofacial Surgery · 261QS0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Center For Oral And Implant Surgery Of Greenwich, LLC?

The NPI number of Center For Oral And Implant Surgery Of Greenwich, LLC is 1194053942. It was assigned on December 4, 2009 and is currently active in the NPPES registry.

What is the specialty of Center For Oral And Implant Surgery Of Greenwich, LLC?

Center For Oral And Implant Surgery Of Greenwich, LLC is registered under the primary taxonomy Clinic/Center, Oral and Maxillofacial Surgery (code 261QS0112X).

Where does Center For Oral And Implant Surgery Of Greenwich, LLC practice?

The practice location is 49 Lake Ave, Greenwich, CT 06830-4501. The office can be reached at 203-661-4231 (phone) or 203-661-0155 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194053942 directly on the NPPES registry website.

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