Provider Demographics
NPI:1750272043
Name:OZGA, MEGAN MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MARIE
Last Name:OZGA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 W TALLGRASS TRL UNIT 209
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-0753
Mailing Address - Country:US
Mailing Address - Phone:815-701-7812
Mailing Address - Fax:
Practice Address - Street 1:16350 N PAT TILLMAN BLVD
Practice Address - Street 2:STE 120
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387
Practice Address - Country:US
Practice Address - Phone:623-738-0370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0125591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice