Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glenn Frederick Edmiston, DDSMS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1295847036

Dr. Glenn Frederick Edmiston, DDSMS is an Oral and Maxillofacial Surgery (Dentist) in Joliet, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

302 N Hammes Ave Ste #4
Joliet, IL 60435-8117
Phone: (815) 741-0301
Fax: (805) 741-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X (IL)

Record details

NPI number1295847036
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address302 N Hammes Ave, Suite #4, Joliet, IL 60435-8117

Other providers in Joliet