Individual
DR. GLEN ALLEN EISENHUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8885
Mailing address
PO BOX 1785, FORT DEFIANCE, AZ 86504-1785
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D008343
AZ
1223E0200X
Endodontics
D10716
MN
1223E0200X
Endodontics
DD2828
NM
Other
Enumeration date
11/01/2006
Last updated
12/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us