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DR. GLEN ALLEN EISENHUTH DDS
NPI 1962580472
Dentist - Endodontics in Fort Defiance, AZ

Active since November 01, 2006
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8885 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, May 23, 2019 (2 updates tracked since 2019).

About Dr. Glen Allen Eisenhuth Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN ALLEN EISENHUTH DDS (NPI 1962580472) is an individual endodontics provider in Fort Defiance, Arizona, licensed in Arizona (D008343) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1962580472
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. GLEN ALLEN EISENHUTHCredential: DDS
Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504
Mailing AddressPo Box 1785Fort Defiance, AZ 86504-1785 · (928) 729-8000
Phone(928) 729-8885
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1962580472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in AZ · D008343✔ Licensed in MN · D10716✔ Licensed in NM · DD2828
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROMULO LAURETA PARUNGAO M.D.
Emergency Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8600
JAY S GUIKEMA FNP
Nurse Practitioner (Family)
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
MARIBEL PASTRAN RD, CD
Dietitian, Registered
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
SARAH R WILLIAMS PT
Physical Therapist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
JOHN NORBERT
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
DR. LINDA BROWN TRUDEL MD
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
DR. SAMMIE MICHEAL BIA III PHARMD.
Pharmacist
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
DR. WALTER MAX ADAM MD
Family Medicine
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Eisenhuth's NPI number?

The NPI number for Glen Eisenhuth is 1962580472. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Glen Eisenhuth located?

Glen Eisenhuth practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8885.

What is Glen Eisenhuth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Glen Eisenhuth accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Glen Eisenhuth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Eisenhuth was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.