Michael L Bobo Dds Md Psc

LBN: Michael L Bobo Dds Md Psc
Michael L Bobo Dds Md Psc is an health care organization with primary practice located at 1109 Poplar St , Murray KY 42071-2360. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty. Michael L Bobo Dds Md Psc can be contacted via phone (270) 759-4063, or through Bobo, Michael L via phone (270) 759-4063.

Contact Information

Primary practice address
1109 Poplar St Murray KY 42071-2360
Phone: (270) 759-4063
Fax: (270) 759-4920
Website:
Map and Directions
Authorized official contact:
Name: Bobo, Michael L DDS., MD.
Phone: (270) 759-4063

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7465 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7404 Tennessee
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 30866 Tennessee
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 34759 Kentucky

Profile Details

NPI number 1518141100
LBN Legal business name Michael L Bobo Dds Md Psc
DBA Doing business as
Authorized official Bobo, Michael L DDS., MD.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Aug 4th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518141100 NPPES
Tennessee MEDICAID 1518748
Tennessee MEDICAID 65934655

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