# NORTHEAST OHIO MEDICAL UNIVERSITY COLLEGE OF DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386579969
- **Legal business name:** NORTHEASTERN OHIO UNIVERSITIES COLLEGES OF MEDICINE AND PHARMACY
- **Authorized official:** JEAN FOX DDS (ASSOCIATE DEAN FOR CLINICAL AFFAIRS)
- **Authorized official phone:** (440) 796-7347

## Contact information

- **Practice address:** 4209 STATE ROUTE 44, ROOTSTOWN, OH 44272-9698
- **Practice address phone:** (330) 325-6666
- **Mailing address:** 4209 STATE ROUTE 44, ROOTSTOWN, OH 44272-9698
- **Mailing address phone:** (330) 325-6666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2026
- **Last updated:** 06/16/2026
