MEDICARE: DR. MEGAN MARIE OZGA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D012559	AZ

General Provider Information

NPI Number	:	1750272043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN MARIE OZGA DMD

Provider Business Mailing Address
First Line	:	3075 W DOVE VALLEY RD STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-5224
Country	:	US
Telephone Number	:	480-847-1522
Fax Number	:

Provider Business Practice Location Address
First Line	:	3075 W DOVE VALLEY RD STE 101
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-5224
Country	:	US
Telephone Number	:	480-847-1522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	05/31/2026

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