Healthcare Provider Details

I. General information

NPI: 1750272043
Provider Name (Legal Business Name): MEGAN MARIE OZGA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 W DOVE VALLEY RD STE 101
PHOENIX AZ
85085-5224
US

IV. Provider business mailing address

3075 W DOVE VALLEY RD STE 101
PHOENIX AZ
85085-5224
US

V. Phone/Fax

Practice location:
  • Phone: 480-847-1522
  • Fax:
Mailing address:
  • Phone: 480-847-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012559
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: