Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL LEE BOBO, DDS MD
Active Sole ProprietorDR. MICHAEL LEE BOBO, DDS MD is a Oral & Maxillofacial Surgery healthcare provider located in MURRAY, Kentucky. NPI 1417031436 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MURRAY, KY
Registration Details
- NPI Number
- 1417031436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.769262677876 yrs)
- Last Updated
- Jul 12, 2012
- Licenses
-
7465 DENTAL (KY)34759 (KY)34759 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1109 POPLAR STREETMURRAY, KY, 42071Browse KY providers · Browse ZIP 42071
- Phone
- 2707594063
- Fax
- 2707594920
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.