Dr Glen Allem Eisenhuth, DDS in Fort Defiance, AZ

Dr Glen Allem Eisenhuth, DDS is a medicare enrolled "Dentist - Endodontics" provider in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8885.

Dr Glen Allem Eisenhuth is licensed to practice in Minnesota (license number D10716) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962580472.

Contact Information

	Dr Glen Allem Eisenhuth, DDS
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8885
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glen Allem Eisenhuth
Gender	Male
Speciality	Dentist - Endodontics
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962580472
Provider Enumeration Date: 11/01/2006
Last Update Date: 05/23/2019

Medicare PECOS Information:

PECOS PAC ID: 6507037033
Enrollment ID: I20110914000151

Medical Identifiers

Medical identifiers for Dr Glen Allem Eisenhuth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962580472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	D10716 (Minnesota)	Primary
1223E0200X	Dentist - Endodontics	DD2828 (New Mexico)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glen Allem Eisenhuth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Glen Allem Eisenhuth, DDS Po Box 1785, Fort Defiance, AZ 86504-1785 Ph: (928) 729-8000	Dr Glen Allem Eisenhuth, DDS Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8885

Reviews and Comments

Dentist in Fort Defiance, AZ

Dr. Bill Shayne Tidwell, DDS Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Lydia Purvis Winters, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Tyler Carty Holland, Dentist Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Rt 7 And Rt 12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Prof. Nghiem Thanh Le, DDS Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8885
Dr. Jason Ryan Price, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 & N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Christine A Rizkalla, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Ethan Curleyhair, DMD Dentist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Dr Glen Allem Eisenhuth, DDS - Medicare Dentist in Fort Defiance, AZ