Individual provider · Type 1 NPI
Glenn Frederick Edmiston, DDS MS
Oral and Maxillofacial Surgery (Dentist) · Joliet, IL
NPI number
1295847036
Active
Practice location
302 N Hammes Ave, Suite #4
Joliet, IL 60435-8117
Fax (805) 741-3033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Joliet
About NPI 1295847036
Glenn Frederick Edmiston, DDS MS's National Provider Identifier is 1295847036, issued on Aug 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Joliet, IL. The record was last updated on Jul 8, 2007.