Elizabeth Dolan Holzhauer, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10798 Issued in CT

Practice address

65 Memorial Rd
Suite 400
West Hartford, CT 06107-2434

Phone

(860) 233-9300

NPI assigned

Jun 27, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elizabeth McLaughlin Dolan Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Back Dental LLC

  • General Practice Dentistry
  • West Hartford, CT
  • NPI 1174814495
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1598051674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WELLES DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112626",
            "telephone_number": "860-916-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL RD",
            "address_2": "SUITE 400",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072434",
            "telephone_number": "860-233-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZHAUER",
        "first_name": "ELIZABETH",
        "middle_name": "DOLAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DOLAN",
            "middle_name": "MCLAUGHLIN",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Holian, CDN
• Tamera Holley
• Hollie Barkoff LCSW, LLC
• Timothy James Holsbeke, PA
• G. Grant Holtzberg, PH.D.
• Kimberly Holzthum
• Home Hearing
• Jennifer Honen, LPC
• Honeysuckle Lactation
• Justin Hong, PA-C

• General Practice Dentistry in West Hartford, CT
• Providers in West Hartford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.