OrganizationActive
Center for Oral and Implant Surgery of Greenwich, LLC
NPI 1194053942 · Oral and Maxillofacial Surgery Clinic/Center · Greenwich, CT
Provider details
- NPI number
- 1194053942
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Michele Bergen, Partner
Practice location
49 Lake Ave
Greenwich, CT 06830-4501
Phone: (203) 661-4231
Fax: (203) 661-0155
Mailing address
49 Lake Ave
Greenwich, CT 06830-4501
Registry dates
- Enumerated
- 2009-12-04
- Last updated
- 2010-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.