Provider Demographics
NPI:1730533753
Name:HAYEK, GABRIEL M (MD, DMD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:M
Last Name:HAYEK
Suffix:
Gender:M
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DALE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3659
Mailing Address - Country:US
Mailing Address - Phone:860-679-8079
Mailing Address - Fax:
Practice Address - Street 1:34 DALE RD STE 105
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3659
Practice Address - Country:US
Practice Address - Phone:860-679-8079
Practice Address - Fax:860-676-8242
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX381411223S0112X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery