Dr. Michele S Bergen, DMD, MD
Dentist, Oral and Maxillofacial Surgery in Greenwich, Connecticut
1215929286- Practice location
- 49 Lake Ave, Greenwich, CT 06830-4501
- Phone
- 203-661-4231
- Fax
- 203-661-0155
- Last updated
- August 8, 2012
Michele Shoshana Bergen is a Dentist, Oral and Maxillofacial Surgery based in Greenwich, CT. Michele Shoshana Bergen practices in Greenwich, CT and has the professional credentials of DMD, MD. The NPI Number for Michele Shoshana Bergen is 1215929286 and holds a License No. 009275 (CT). The current practice location address for Michele Shoshana Bergen 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
- 1215929286
- Provider Name
- Michele Shoshana Bergen
- Credential
- DMD, MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 49 Lake Ave, Greenwich, CT 06830-4501
- Phone Number
- 203-661-4231
- Fax Number
- 203-661-0155
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2005
- Last Update Date
- August 8, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Lake Ave
Greenwich, CT 06830-4501 - City
- Greenwich
- State
- Connecticut
- Zip
- 06830-4501
- Phone Number
- 203-661-4231
- Fax Number
- 203-661-0155
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
- License Number (1)
- 009275
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
- License Number (2)
- 042206
- License State (2)
- CT
- Taxonomy (2)
- Oral & Maxillofacial Surgery · 204E00000X
- License Number (3)
- 050181
- License State (3)
- NY
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (4)
- 231685
- License State (4)
- NY
- Taxonomy (4)
- Oral & Maxillofacial Surgery · 204E00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Greenwich, CT
View all Dentist, Oral and Maxillofacial Surgery providers in Greenwich →- Dr. Brett M Zuckman, DMDDentist, Oral and Maxillofacial Surgery · NPI 1053699967
- Dr. Joseph F Wallace III, DDSDentist, Oral and Maxillofacial Surgery · NPI 1255421012
- Dr. Michael Forman, DMD, MDDentist, Oral and Maxillofacial Surgery · NPI 1043672967
- Dr. Thomas B Wilson I, DDS, MDDentist, Oral and Maxillofacial Surgery · NPI 1649298944
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Frequently Asked Questions
What is the NPI number of Dr. Michele S Bergen, DMD, MD?
The NPI number of Dr. Michele S Bergen, DMD, MD is 1215929286. It was assigned on August 16, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Michele S Bergen, DMD, MD?
Dr. Michele S Bergen, DMD, MD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 009275.
Where does Dr. Michele S Bergen, DMD, MD 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 1215929286 directly on the NPPES registry website.