Provider Demographics
NPI:1144116922
Name:YAHN, GYLLIAN (DMD)
Entity type:Individual
Prefix:
First Name:GYLLIAN
Middle Name:
Last Name:YAHN
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 1:1727 E PECOS RD APT 3043
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1872
Mailing Address - Country:US
Mailing Address - Phone:920-253-8885
Mailing Address - Fax:
Practice Address - Street 1:4049 E WILLIAMS FIELD RD STE 109
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-3217
Practice Address - Country:US
Practice Address - Phone:480-840-3600
Practice Address - Fax:480-840-3200
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0125221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice