DR. GLENN FREDERICK EDMISTON DDS MS
NPI 1295847036
Dentist - Oral and Maxillofacial Surgery in Joliet, IL

Active since August 31, 2006
302 N HAMMES AVE, SUITE #4, JOLIET, IL 60435(815) 741-0301(805) 741-3033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glenn Frederick Edmiston Dds Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN FREDERICK EDMISTON DDS MS (NPI 1295847036) is an individual oral and maxillofacial surgery provider in Joliet, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1295847036
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GLENN FREDERICK EDMISTONCredential: DDS MS
Location Address302 N HAMMES AVE, SUITE #4Joliet, IL 60435-8117
Mailing Address302 N Hammes Ave, Suite #4Joliet, IL 60435-8117 · (815) 741-0301 · Fax (805) 741-3033
Fax(805) 741-3033
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1295847036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

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.

302 N HAMMES AVE, Joliet, IL 60435

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
302 N HAMMES AVE
JOLIET, IL 60435
Surgery (Vascular Surgery)
302 N HAMMES AVE
JOLIET, IL 60435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Edmiston's NPI number?

The NPI number for Glenn Edmiston is 1295847036. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Glenn Edmiston located?

Glenn Edmiston practices at 302 N Hammes Ave Suite #4, Joliet, IL 60435. The listed phone number is (815) 741-0301.

What is Glenn Edmiston's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Glenn Edmiston was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.