Rourk B. Freeman, DMD,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4054 Issued in SC

Legal business name

ROURK B. FREEMAN, DMD,PA

Practice address

736 Saluda Lake Rd
Greenville, SC 29611-2460

Phone

(864) 246-8347

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marcy S. Freeman

Title

Office Manager

Phone

(864) 246-8347

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Rourk Barton Freeman, D.M.D., P.A.

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1255439394
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144355108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 SALUDA LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296112460",
            "telephone_number": "864-246-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 SALUDA LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296112460",
            "telephone_number": "864-246-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROURK B. FREEMAN, DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-246-8347",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4054",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Rotondi
• Andrew Roudebush, D.O.
• Sarah Rouleau
• Shelia Elizabeth Roundtree, MD
• Kiera Nicole Rountree, PHARMD
• Christopher Jason Rouse, DMD
• Samantha Nicole Rousey, CAC I
• Lauren Elrod Roux, PA
• Carl F Rowe Jr., PT
• John R. Rowell Jr., M.D.

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.