Active NPI
Northeast Ohio Medical University College of Dentistry
- Dental Clinic/Center
- Rootstown, OH
National Provider Identifier
1386579969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
- Organization subpart
- Yes
- Parent organization
- NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean Fox, DDS
- Title
- Associate Dean for Clinical Affairs
- Phone
- (440) 796-7347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Northeast Ohio Medical University College of Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Rootstown, OH
- NPI 1639235567
Locations
4209 State Route 44
Rootstown, OH 44272
Phone (800) 686-2511
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.
-
- Local Education Agency (LEA)
- Rootstown, OH
- NPI 1639235567
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chardon, OH
- NPI 1962433979
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.