Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michele Shoshana Bergen, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1215929286

Dr. Michele Shoshana Bergen, DMD, MD is a 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?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

49 Lake Ave
Greenwich, CT 06830-4501
Phone: (203) 661-4231
Fax: (203) 661-0155
Show map & directions

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 number1215929286
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESAugust 8, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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