Eisenhuth, Glen Allem
Eisenhuth, Glen Allem is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Eisenhuth, Glen Allem can be contacted via phone (928) 729-8885.Contact Information
Primary practice address
Corner Of Route N12 And N7
Fort Defiance AZ 86504
Phone: (928) 729-8885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D10716 | Minnesota |
| Dental Providers / Endodontics | 1223E0200X | DD2828 | New Mexico |
Profile Details
| NPI number | 1962580472 |
|---|---|
| LBN Legal business name | Eisenhuth, Glen Allem |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 23rd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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