NPIMap

Organization Active NPI

Northeast Ohio Medical University College of Dentistry

  • Dental Clinic/Center
  • Rootstown, OH
National Provider Identifier
1386579969
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTHEAST OHIO MEDICAL UNIVERSITY COLLEGE OF DENTISTRY
Practice address
4209 State Route 44
Rootstown, OH 44272-9698
Phone
(330) 325-6666
NPI assigned
Jun 16, 2026
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Jean Fox, DDSNPI 1962433979
Title
Associate Dean for Clinical Affairs
Phone
(440) 796-7347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4209 State Route 44
Rootstown, OH 44272-9698

Mailing address

4209 State Route 44
Rootstown, OH 44272-9698
Phone (330) 325-6666

National Provider Directory

National Provider Directory
Tax ID family
Northeastern Ohio Universities Colleges of Medicine and Pharmacy2 organizations share this tax ID, including this one
Part of
Northeastern Ohio Universities Colleges of Medicine and Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1386579969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 STATE ROUTE 44",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729698",
            "telephone_number": "330-325-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 STATE ROUTE 44",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729698",
            "telephone_number": "330-325-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO MEDICAL UNIVERSITY COLLEGE OF DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "ASSOCIATE DEAN FOR CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "440-796-7347",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rootstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.