Individual ProviderMike AdamsDentistDental ProvidersPractice Address5222 Balboa Ave, Suite 71, San Diego, CA 92117-6904(858) 279-1900(858) 756-2079PECOS EnrollmentBased on the most recent information from CMS, provider Mike Adams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1538384573Provider TypeIndividualFull NameAdams, MikeTitleDr.GenderMaleSole ProprietorYesEnumeration Date4/16/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5222 Balboa Ave, Suite 71, San Diego, CA 92117-6904Phone(858) 279-1900FaxUnlisted FaxMailing LocationMailing AddressPO Box 8343, Rancho Santa Fe, CA 92067-8343Phone(858) 756-2079FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense24737California