Provider Demographics
NPI:1598947947
Name:SHIGA, MEGAN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:A
Last Name:SHIGA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4455
Mailing Address - Country:US
Mailing Address - Phone:440-247-9220
Mailing Address - Fax:440-247-9289
Practice Address - Street 1:525 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4455
Practice Address - Country:US
Practice Address - Phone:440-247-9220
Practice Address - Fax:440-247-9289
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.022581122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist