MEDICARE: SETH C. RUMLEY, DDS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8398	NC

General Provider Information

NPI Number	:	1154557684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SETH C. RUMLEY, DDS, P.A.

Provider Business Mailing Address
First Line	:	5900 SIX FORKS RD
Second Line	:	SUITE 101
City	:	RALEIGH
State	:	NC
Zip	:	27609-3838
Country	:	US
Telephone Number	:	919-847-8074
Fax Number	:	919-847-8173

Provider Business Practice Location Address
First Line	:	5900 SIX FORKS RD
Second Line	:	SUITE 101
City	:	RALEIGH
State	:	NC
Zip	:	27609-3838
Country	:	US
Telephone Number	:	919-847-8074
Fax Number	:	919-847-8173

Authorized Official
Title or Position	:	DENTIST/PRESIDENT
Name	:	SETH CAMPBELL RUMLEY
Credential	:	DDS, PA
Telephone Number	:	919-847-8074

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	11/04/2016

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