Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glen Allen Eisenhuth, DDS

Individual provider Endodontics · NPI 1962580472

Dr. Glen Allen Eisenhuth, DDS is an Endodontics in Fort Defiance, Arizona. Licensed in Arizona, Minnesota and New Mexico. Registered with an NPI since 2006.

Licensed in
AZ, MN, NM
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence D008343 (AZ)
Endodontics Taxonomy 1223E0200X · Licence D10716 (MN)
Endodontics Taxonomy 1223E0200X · Licence DD2828 (NM)

Record details

NPI number1962580472
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025