CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC
NPI 1194053942
Clinic/Center - Oral and Maxillofacial Surgery in Greenwich, CT

Q: What is Center For Oral And Implant Surgery Of Greenwich, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since December 04, 2009

49 LAKE AVE, GREENWICH, CT 06830(203) 661-4231(203) 661-0155 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Center For Oral And Implant Surgery Of Greenwich, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC (NPI 1194053942) is a healthcare organization registered as an oral and maxillofacial surgery in Greenwich, Connecticut and active in the NPI registry since December 2009. The organization lists Michele S. Bergen, Partner, as its authorized official.

NPPES Registry Identity

NPI1194053942

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameCENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC

Location Address49 LAKE AVEGreenwich, CT 06830-4501

Mailing Address49 Lake AveGreenwich, CT 06830-4501 · (203) 661-4231 · Fax (203) 661-0155

Phone(203) 661-4231

Fax(203) 661-0155

Organization SubpartNo

Authorized OfficialMichele S. BergenPartner · (203) 661-4231

Enumeration DateDecember 4, 2009

Last NPPES UpdateJanuary 19, 2010

✔ NPI 1194053942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

Definition

An oral and maxillofacial surgery clinic or center specialized in 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.

49 LAKE AVE, Greenwich, CT 06830

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Center For Oral And Implant Surgery Of Greenwich, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Center For Oral And Implant Surgery Of Greenwich, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

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

Maxillofacial Surgery

NPI 1215929286

49 LAKE AVE
Greenwich, CT 06830

(203) 661-4231

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Oral And Implant Surgery Of Greenwich, LLC's NPI number?

The NPI number for Center For Oral And Implant Surgery Of Greenwich, LLC is 1194053942. It was assigned to this organization in the NPPES registry on December 4, 2009.

Where is Center For Oral And Implant Surgery Of Greenwich, LLC located?

Center For Oral And Implant Surgery Of Greenwich, LLC is located at 49 Lake Ave, Greenwich, CT 06830. The listed phone number is (203) 661-4231.

What is Center For Oral And Implant Surgery Of Greenwich, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is Center For Oral And Implant Surgery Of Greenwich, LLC enrolled in Medicare?

Yes. Center For Oral And Implant Surgery Of Greenwich, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Center For Oral And Implant Surgery Of Greenwich, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Center For Oral And Implant Surgery Of Greenwich, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Center For Oral And Implant Surgery Of Greenwich, LLC was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.