Provider Demographics
NPI:1710070230
Name:HOLZHAUER & HEWETT SC
Entity Type:Organization
Organization Name:HOLZHAUER & HEWETT SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOLZHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:262-367-7076
Mailing Address - Street 1:520 HARTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53029-1402
Mailing Address - Country:US
Mailing Address - Phone:262-367-7076
Mailing Address - Fax:262-367-0994
Practice Address - Street 1:520 HARTBROOK DR
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-1402
Practice Address - Country:US
Practice Address - Phone:262-367-7076
Practice Address - Fax:262-367-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI32361223X0400X
WI41581223X0400X
WI6251-151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty