Provider Demographics
NPI:1356094783
Name:GABRIEL M HAYEK DMD
Entity Type:Organization
Organization Name:GABRIEL M HAYEK DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HAYEK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-737-1929
Mailing Address - Street 1:1009 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1972
Mailing Address - Country:US
Mailing Address - Phone:401-737-1929
Mailing Address - Fax:401-737-2140
Practice Address - Street 1:1009 MAIN AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1972
Practice Address - Country:US
Practice Address - Phone:401-737-1929
Practice Address - Fax:401-737-2140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty