Dr. Michele Shoshana Bergen
D.M.D., M.D. | Oral and Maxillofacial Surgeon | 24+ years Exp
49 Lake Ave, Greenwich
Connecticut, 06830-4501
203-661-4231 203-661-0155
Maps & DirectionsDr. Michele Shoshana Bergen is a Greenwich, Connecticut based Oral and Maxillofacial Surgeon with
24 years of experience in
Oral and Maxillofacial Surgery. She completed her graduation from
Rutgers New Jersey Medical School in 2001. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michele Shoshana Bergen is
009275 for Oral and Maxillofacial Surgery in Connecticut. Her current practice location is
49 Lake Ave, Greenwich. Patients can reach her at
203-661-4231.
Dr. Michele Shoshana Bergen deals with 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.
Complete Profile:
Dr. Michele Shoshana Bergen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Michele Shoshana Bergen |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Female |
| Credentials: | D.M.D., M.D. |
| Experience: | 24+ years |
| Medical School Attended: | Rutgers New Jersey Medical School |
| Graduation Year: | 2001 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 49 Lake Ave, Greenwich,
Connecticut, 06830-4501 |
| Phone: | 203-661-4231 |
| Fax: | 203-661-0155 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 4880643436 |
| Enrollment ID: | I20050120000772 |
| NPI Number: | 1215929286 |
| NPI Enumeration Date: | 16 Aug, 2005 |
| NPI Last Update On: | 08 Aug, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michele Shoshana Bergen are as mentioned below.
| License Number | Specialization | State | Status | |
| 009275 | Oral and Maxillofacial Surgery | Connecticut | Primary | |
| 042206 | Oral & Maxillofacial Surgery | Connecticut | Secondary | |
| 050181 | Oral and Maxillofacial Surgery | New York | Secondary | |
| 231685 | Oral & Maxillofacial Surgery | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michele Shoshana Bergen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 001422063 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 49 Lake Ave,
Greenwich, Connecticut |
| Zip: | 06830-4501 |
| Phone Number: | 203-661-4231 |
| Fax Number: | 203-661-0155 |
Patients can reach Dr. Michele Shoshana Bergen at
49 Lake Ave, Greenwich, Connecticut or can
call to book an appointment on 203-661-4231.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.