Michele Bergen, D.M.D., M.D.

Individual Active
NPI 1215929286
Oral and Maxillofacial Surgery (Dentist) Greenwich, CT

NPI 1215929286 belongs to Michele Bergen, D.M.D., M.D., an oral and maxillofacial surgery (dentist) with a practice location in Greenwich, CT. The NPI was issued on August 16, 2005, and the record was last updated in NPPES on August 8, 2012. The record lists 4 taxonomy codes.

This record hasn't been updated in NPPES since 2012. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X 009275 (CT)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 042206 (CT)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 050181 (NY)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 231685 (NY)

Practice location

49 Lake Ave
Greenwich, CT 06830-4501
Phone: (203) 661-4231

Local context

Active NPPES records list 420 providers with oral and maxillofacial surgery (dentist) as the primary taxonomy within 25 miles of this practice location's ZIP code, 55 of them within 10 miles.

The same primary taxonomy is listed by 192 in Connecticut and 12,969 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Michele Shoshana Bergen
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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