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Dr. Glenn Frederick Edmiston, DDSMS
Oral and Maxillofacial Surgery (Dentist) in Joliet, Illinois
NPI 1295847036

Glenn Frederick Edmiston is a Oral and Maxillofacial Surgery (Dentist) based in Joliet, IL and is specialized in Oral and Maxillofacial Surgery. Glenn Frederick Edmiston practices in Joliet, IL and has the professional credentials of DDSMS. The NPI Number for Glenn Frederick Edmiston is 1295847036 and holds a License No. (Illinois).

The current practice location address for Glenn Frederick Edmiston is 302 N Hammes Ave, Joliet, IL and can be reached out via phone at 815-741-0301 and via fax at 805-741-3033.

Location: 302 N Hammes Ave, Joliet, IL, 60435-8117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295847036
Provider Name
Glenn Frederick Edmiston
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
302 N Hammes Ave, Joliet, IL, 60435-8117
Phone Number
815-741-0301
Fax Number
805-741-3033
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
302 N Hammes Ave
City
Joliet
State
Illinois
Zip
60435-8117
Phone Number
815-741-0301
Fax Number
805-741-3033
person
Provider Business Mailing Address Details
Address
302 N Hammes Ave
City
Joliet
State
Illinois
Zip
60435-8117
Phone Number
815-741-0301
Fax Number
805-741-3033
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
(Illinois)
Definition
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.
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