Search › Arizona › 1223E0200X
Glen Eisenhuth, DDS
NPI 1962580472 · on the registry since 2006
Practice
- Address
- Corner Of Route N12 And N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8885
- Organisation at this address
- Fort Defiance Indian Hospital Board, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 302
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223E0200X
1223E0200X - Licence states on file
- MN, NM, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona