Provider Demographics
NPI:1144055146
Name:GABRIEL, HANY (DDS)
Entity type:Individual
Prefix:DR
First Name:HANY
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4556 WARM SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-8363
Mailing Address - Country:US
Mailing Address - Phone:352-405-5311
Mailing Address - Fax:
Practice Address - Street 1:4556 WARM SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-8363
Practice Address - Country:US
Practice Address - Phone:352-405-5311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN29614122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty