Glen Allem Eisenhuth in Fort Defiance - Endodontics
Glen Allem Eisenhuth - NPI 1962580472
Glen Allem Eisenhuth is a Endodontics in Fort Defiance, Arizona. Glen Allem Eisenhuth practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Glen Allem Eisenhuth is 1962580472. The last update date is 2019-05-23.
Glen Allem Eisenhuth's current location address is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can contact this provider via phone number 9287298885. The mailing address for Glen Allem Eisenhuth is Corner Of Route N12 And N7, Fort Defiance, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Allem Eisenhuth |
|---|---|
| Address | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Phone Number | 9287298885 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962580472 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2019-05-23 |
Provider Mailing Address Detail
| Address | Corner Of Route N12 And N7 |
|---|---|
| City | Fort Defiance |
| State | Arizona (AZ) |
| Post Code | 86504 |
| Phone Number | 9287298885 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D10716 |
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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 eti |
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What is the unique 10-digit identification code assigned to Glen Allem Eisenhuth by the Centers for Medicare & Medicaid Services?
The Glen Allem Eisenhuth has been issued the NPI (National Provider Identifier) 1962580472, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Glen Allem Eisenhuth's facilities are geographically located?
The facilities of Glen Allem Eisenhuth are physically situated at the following location: Corner Of Route N12 And N7, Fort Defiance, AZ, 86504.
What is the Glen Allem Eisenhuth's area of specialization and corresponding taxonomy classification?
The Glen Allem Eisenhuth's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date did the Glen Allem Eisenhuth receive its 1962580472 assignment from the Centers for Medicare & Medicaid Services?
The Glen Allem Eisenhuth was assigned its 1962580472 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information pertaining to Glen Allem Eisenhuth most recently updated or revised?
The details related to Glen Allem Eisenhuth, including its address, specialty, and other relevant information, were last updated or revised on 2019-05-23.