DR. Glenn Frederick Edmiston, DDS MS is an oral and maxillofacial surgery dentist in Joliet, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Glenn Frederick Edmiston, DDS MS NPI is 1295847036. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
302 N HAMMES AVE
SUITE #4
JOLIET, IL
ZIP 60435-117
Phone: (815) 741-0301
Fax: (805) 741-3033
The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.