# CASE SCHOOL OF DENTAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CASE/WESTERN RESERVE UNIVERSITY
- **Other names:** none
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760723902
- **Legal business name:** CASE/WESTERN RESERVE UNIVERSITY
- **Authorized official:** DR. LISA LANG D.D.S., M.S.D. M.B.A (DIRECTOR- DEPT. OF COMPREHENSIVE CA)
- **Authorized official phone:** (216) 368-5210

## Contact information

- **Practice address:** 2124 CORNELL RD, CLEVELAND, OH 44106-3804
- **Practice address phone:** (216) 368-5210
- **Practice address fax:** (216) 368-6771
- **Mailing address:** 2124 CORNELL RD, CLEVELAND, OH 44106-3804
- **Mailing address phone:** (216) 368-5210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 11229 | OH | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | 11229 | OH | — |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013