Stephanie Mabson O'Rourke, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011559 Issued in GA

Practice address

757 Peachtree Pkwy Ste 1
Cumming, GA 30041-9354

Phone

(770) 888-6285

Fax

(770) 844-9119

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679640791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 PEACHTREE PKWY STE 1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419354",
            "telephone_number": "770-888-6285",
            "fax_number": "770-844-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 PEACHTREE PKWY STE 1",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419354",
            "telephone_number": "770-888-6285",
            "fax_number": "770-844-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "STEPHANIE",
        "middle_name": "MABSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regis Nwosu
• Cheryl A O'Connell, LPC, CPCS, BC-TMH
• Madelyn O'Dell, OTR/L
• Kimberly Anne O'Haire, NP
• Eileen O'Regan-O'Toole, LCSW
• Allison O'Shields
• Oba Social Services LLC
• Shuuichi Oda, LMT
• Ekene Franca Ofor
• Cassandra Nichole Oh

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.