Individual provider Active NPI

Eden Marie Fitzgibbons, DDS

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1386322097
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
RES.005022 Issued in OH
Practice address
2019 Hughes Dr. Jobst Tower, 6TH Floor
Toledo, OH 43606
Phone
(419) 291-7222
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X RES.005022 OH Primary

Addresses

Primary practice location

2019 Hughes Dr. Jobst Tower, 6TH Floor
Toledo, OH 43606

Mailing address

2019 Hughes Dr. Jobst Tower, 6TH Floor
Toledo, OH 43606
Phone (419) 291-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62063KSMDDentist
2023023745MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Staley Dental Arts, LLC General Practice PastSince Jul 16, 2023 Accepting new patients
Klein Dental - Staley General Practice PastSince Jul 16, 2023 Accepting new patients
Adventure Vision of Topeka LLC Past Accepting new patients
Country Club Dental PA General Practice Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1386322097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 HUGHES DR. JOBST TOWER, 6TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-291-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 HUGHES DR. JOBST TOWER, 6TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-291-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGIBBONS",
        "first_name": "EDEN",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "RES.005022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.