Dr. Michael Lee Bobo
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1109 Poplar Street
Murray
, Kentucky 42071
Dr. Michael Lee Bobo
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1109 Poplar Street
Murray
, Kentucky 42071
(270) 759-4920
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Lee Bobo
- 1109 Poplar Street
- Murray, KY
- Zip : 42071
- Fax : (270) 759-4920
- Phone : (270) 759-4063
Second Address
- Dr. Michael Lee Bobo
- 1109 Poplar Street
- Murray, KY
- Zip : 42071
- Fax : (270) 759-4920
- Phone : (270) 759-4063
Reviews
FAQs
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Is Dr. Michael Lee Bobo a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 34759 | KY |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 7465 DENTAL | KY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 34759 | KY |
National Provider Identifier
| NPI | 1417031436 |
|---|---|
| Provider Name | Dr. Michael Lee Bobo |
| First Address | Murray, KY 42071 |
| Second Address | Murray, KY 42071 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 12/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 60000163 | (05) | KY |
| 64011711 | (05) | KY |
| H59387 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.