Provider Demographics
NPI:1811628233
Name:RUMBAUGH, CHELSEA M (DMD)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:M
Last Name:RUMBAUGH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1812
Mailing Address - Country:US
Mailing Address - Phone:412-766-3900
Mailing Address - Fax:412-766-2731
Practice Address - Street 1:7100 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-1812
Practice Address - Country:US
Practice Address - Phone:412-766-3900
Practice Address - Fax:412-766-2731
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0436611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice