Basic Information
| Provider Information | |||||||||
| NPI: | 1730533753 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAYEK | ||||||||
| FirstName: | GABRIEL | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DMD, MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 263 FARMINGTON AVE. | ||||||||
| Address2: | DIVISION OF ORAL AND MAXILLOFACIAL SURGERY | ||||||||
| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606793004 | ||||||||
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| Practice Location | |||||||||
| Address1: | 263 FARMINGTON AVE | ||||||||
| Address2: | ROOM L-7073; DEPT. OF ORAL AND MAXILLOFACIAL SURGERY | ||||||||
| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060301720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4016631175 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2016 | ||||||||
| LastUpdateDate: | 10/24/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 1223S0112X | 38141 | TX | Y | Dental Providers | Dentist | Oral and Maxillofacial Surgery |
No ID Information.