Provider Demographics
NPI:1679720056
Name:GAN, AY MEY (DDS)
Entity type:Individual
Prefix:DR
First Name:AY MEY
Middle Name:
Last Name:GAN
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 1:3801 KIRBY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4100
Mailing Address - Country:US
Mailing Address - Phone:713-522-9499
Mailing Address - Fax:713-522-8250
Practice Address - Street 1:3801 KIRBY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4100
Practice Address - Country:US
Practice Address - Phone:713-522-9499
Practice Address - Fax:713-522-8250
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist