Provider Demographics
NPI:1275806960
Name:HENT LLC
Entity Type:Organization
Organization Name:HENT LLC
Other - Org Name:HERITAGE EAR, NOSE & THROAT & FACIAL PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:ABRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-728-9700
Mailing Address - Street 1:2025 TECHNOLOGY PKWY
Mailing Address - Street 2:STE G-03
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-9400
Mailing Address - Country:US
Mailing Address - Phone:717-728-9700
Mailing Address - Fax:717-728-9800
Practice Address - Street 1:2025 TECHNOLOGY PKWY
Practice Address - Street 2:STE G-03
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9400
Practice Address - Country:US
Practice Address - Phone:717-728-9700
Practice Address - Fax:717-728-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-11
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055634L207YS0123X
207YX0007X, 207YX0905X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty