Dr. Michele Shoshana Bergen, DMD, MD
Dr. Michele Shoshana Bergen, DMD, MD practises Maxillofacial Surgery in Greenwich, Connecticut. Graduated from Rutgers New Jersey Medical School in 2001, 25 years ago. Accepts Medicare assignment. Licensed in Connecticut and New York.
- Years since qualifying
- 25
- Trained at
- Rutgers New Jersey Medical School
- Licensed in
- CT, NY
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
Practice location Address checks out
49 Lake AveGreenwich, CT 06830-4501 Not confirmed with CMS for 14 years — call before visiting
Phone: (203) 661-4231
Fax: (203) 661-0155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 009275 (CT) |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence 042206 (CT) |
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 050181 (NY) |
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence 231685 (NY) |
Record details
| NPI number | 1215929286 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DMD , MD |
| Sole proprietor | No |
| NPI enumerated | August 16, 2005 |
| Last updated in NPPES | August 8, 2012 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Medical school | RUTGERS NEW JERSEY MEDICAL SCHOOL |
| Graduated | 2001 (25 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Removal of tissue | 1–10 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 78 |
| Average patient age | 77 |
Practises at
- Geisinger Medical Center Hospital · Danville, PA
Other providers in Greenwich
-
Dr. Michael Forman, DMD, MD
23 Maple Ave, Greenwich, CT 06830-5675 · (203) 661-5858
-
Greenwich Oral and Maxillofacial Surgery Associates, PC
23 Maple Ave, Greenwich, CT 06830-5620 · (203) 661-5858
-
Dr. Joseph Francis Wallace III, DDS
23 Maple Ave, Greenwich, CT 06830-5620 · (203) 661-5858
-
Dr. Thomas Benedict Wilson I, DDS, MD
4 Dearfield Dr Ste G-1, Greenwich, CT 06831-5351 · (203) 661-5858