Glenn Frederick Edmiston in Joliet - Oral And Maxillofacial Surgery

Glenn Frederick Edmiston - NPI 1295847036

Glenn Frederick Edmiston is a Oral And Maxillofacial Surgery in Joliet, Illinois. Glenn Frederick Edmiston practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Glenn Frederick Edmiston is 1295847036. The last update date is 2007-07-08.

Glenn Frederick Edmiston's current location address is 302 N Hammes Ave, Joliet, Illinois. You can contact this provider via phone number 8157410301 and fax number 8057413033. The mailing address for Glenn Frederick Edmiston is 302 N Hammes Ave, Joliet, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Frederick Edmiston
Address 302 N Hammes Ave, Joliet, Illinois
Phone Number 8157410301
Fax Number 8057413033
Sole Proprietor N
Credentials DDS MS

NPI Number Detail

NPI Number 1295847036
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 302 N Hammes Ave
City Joliet
State Illinois (IL)
Post Code 604358117
Phone Number 8157410301
Fax Number 8057413033

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
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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FAQs about Glenn Frederick Edmiston

What is the Glenn Frederick Edmiston's 1295847036?

The Glenn Frederick Edmiston's NPI (National Provider Identifier) Number is 1295847036. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Glenn Frederick Edmiston is physically located?

The Glenn Frederick Edmiston is physically situated at the following address: 302 N Hammes Ave, Joliet, IL, 604358117.

What is Glenn Frederick Edmiston's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Glenn Frederick Edmiston's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date was the 1295847036 assigned to Glenn Frederick Edmiston?

The Glenn Frederick Edmiston was issued its 1295847036 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Glenn Frederick Edmiston, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Glenn Frederick Edmiston, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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