MEDICARE: DR. SETH CAMPBELL RUMLEY D.D.S., 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184828519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SETH CAMPBELL RUMLEY D.D.S., 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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	09/14/2016

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