Edmiston, Glenn Frederick
Edmiston, Glenn Frederick is an individual health care provider with primary practice located at 302 N Hammes Ave Suite #4, Joliet IL 60435-8117. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Edmiston, Glenn Frederick can be contacted via phone (815) 741-0301.Contact Information
Primary practice address
302 N Hammes Ave Suite #4
Joliet IL 60435-8117
Phone: (815) 741-0301
Fax: (805) 741-3033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Illinois | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Illinois |
Profile Details
| NPI number | 1295847036 |
|---|---|
| LBN Legal business name | Edmiston, Glenn Frederick |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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