Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELE SHOSHANA BERGEN, D.M.D., M.D.
ActiveDR. MICHELE SHOSHANA BERGEN, D.M.D., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in GREENWICH, Connecticut. NPI 1215929286 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GREENWICH, CT
Registration Details
- NPI Number
- 1215929286
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2005 (20.954242912353 yrs)
- Last Updated
- Aug 8, 2012
- Licenses
-
009275 (CT)042206 (CT)050181 (NY)231685 (NY)
Practice Information
- Address
-
49 LAKE AVEGREENWICH, CT, 068304501Browse CT providers · Browse ZIP 06830
- Phone
- 2036614231
- Fax
- 2036610155
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Other Oral & Maxillofacial Surgery Providers in GREENWICH, CT
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS BENEDICT WILSON I | DDS,MD | 1649298944 |
| DR. JOSEPH FRANCIS WALLACE III | D.D.S. | 1255421012 |
| DR. BRETT MICHAEL ZUCKMAN | DMD | 1053699967 |
| DR. MICHAEL FORMAN | D.M.D. , M.D. | 1043672967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.