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Dr. Michele Shoshana Bergen, DMD,MD
Oral & Maxillofacial Surgery (D.M.D.) in Greenwich, Connecticut
NPI 1215929286

Michele Shoshana Bergen is a Oral & Maxillofacial Surgery (D.M.D.) 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 (Connecticut).

The current practice location address for Michele Shoshana Bergen is 49 Lake Ave, Greenwich, CT and can be reached out via phone at 203-661-4231 and via fax at 203-661-0155. You can also correspond with Michele Shoshana Bergen through the mailing address at 49 LAKE AVE, GREENWICH, CT - 06830-4501 (mailing address contact number: 203-661-4231).

Location: 49 Lake Ave, Greenwich, CT, 06830-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001422063 05 CT
institution
Provider Business Practice Location Address Details
Address
49 Lake Ave
City
Greenwich
State
Connecticut
Zip
06830-4501
Phone Number
203-661-4231
Fax Number
203-661-0155
person
Provider Business Mailing Address Details
Address
49 Lake Ave
City
Greenwich
State
Connecticut
Zip
06830-4501
Phone Number
203-661-4231
Fax Number
203-661-0155
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
042206 (Connecticut)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
009275 (Connecticut)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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