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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN FREDERICK EDMISTON, DDS MS

Active

DR. GLENN FREDERICK EDMISTON, DDS MS is a Oral & Maxillofacial Surgery healthcare provider located in JOLIET, Illinois. NPI 1295847036 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · JOLIET, IL

Registration Details

NPI Number
1295847036
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.974081646545 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
302 N HAMMES AVE
SUITE #4
JOLIET, IL, 604358117
Browse IL providers · Browse ZIP 60435
Phone
8157410301
Fax
8057413033
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in JOLIET, IL

Name Credential NPI
DR. JAMES JOHN BABIUK D.D.S. 1760601272
DR. STEPHEN MORIMOTO DDS 1891014528
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.