1. Home
  2. Directory
  3. Connecticut
  4. Greenwich
  5. Clinic Center
  6. NPI Profile

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

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: August 02, 2026.

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
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID D EVANS M.D.
Radiology (Diagnostic Radiology)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 861-2381
DR. JAMES STEPHEN BORGES MD
Specialist
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-2934
DR. LYNNE M HAVEN M. D.,
Dermatology
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-4242
DR. MICHELE SHOSHANA BERGEN D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 661-4231
VINOD RAVIKUMAR M.D. LLC
Clinic/Center (Health Service)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (845) 368-8808
JOSHUA JABLONSKI
Audiologist
49 LAKE AVE, SUITE 103
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-2030
MR. LOUIS VISCONTI
Pharmacist
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 869-5700
DR. EREZ SALIK MD
Radiology (Diagnostic Radiology)
49 LAKE AVE
GREENWICH, CT 06830
Western Connecticut Planning Region (203) 861-2381

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.

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.