Provider Demographics
NPI:1124055512
Name:ADAMS, CARY M (DMD)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 UNIVERSITY BLVD S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-7873
Mailing Address - Country:US
Mailing Address - Phone:251-343-3214
Mailing Address - Fax:251-343-3207
Practice Address - Street 1:821 UNIVERSITY BLVD S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-7873
Practice Address - Country:US
Practice Address - Phone:251-343-3214
Practice Address - Fax:251-343-3207
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice