Michael Lee Bobo in Murray - Oral & Maxillofacial Surgery
Michael Lee Bobo - NPI 1417031436
Michael Lee Bobo is a Oral & Maxillofacial Surgery in Murray, Kentucky. Michael Lee Bobo practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Michael Lee Bobo is 1417031436. The last update date is 2012-07-12.
Michael Lee Bobo's current location address is 1109 Poplar Street, Murray, Kentucky. You can contact this provider via phone number 2707594063 and fax number 2707594920. The mailing address for Michael Lee Bobo is 1109 Poplar Street, Murray, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Lee Bobo |
|---|---|
| Address | 1109 Poplar Street, Murray, Kentucky |
| Phone Number | 2707594063 |
| Fax Number | 2707594920 |
| Sole Proprietor | Y |
| Credentials | DDS MD |
NPI Number Detail
| NPI Number | 1417031436 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2012-07-12 |
Provider Mailing Address Detail
| Address | 1109 Poplar Street |
|---|---|
| City | Murray |
| State | Kentucky (KY) |
| Post Code | 42071 |
| Phone Number | 2707594063 |
| Fax Number | 2707594920 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | 34759 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60000163 | KY | -- | |
| 64011711 | KY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael Lee Bobo by the Centers for Medicare & Medicaid Services?
The Michael Lee Bobo has been issued the NPI (National Provider Identifier) 1417031436. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Lee Bobo is physically located?
The Michael Lee Bobo is physically situated at the following address: 1109 Poplar Street, Murray, KY, 42071.
What is Michael Lee Bobo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Lee Bobo's specialized field of practice is Oral & Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 204E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417031436 to Michael Lee Bobo?
The Centers for Medicare & Medicaid Services originally issued the 1417031436 to Michael Lee Bobo on 2006-10-25.
As of what date were the Michael Lee Bobo's details last updated?
The information pertaining to the Michael Lee Bobo, including its address, specialty, and other details, was most recently updated on 2012-07-12.