Organization
KY TN ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE BOBO DDS, MD (PARTNER/ MEMBER)
(270) 759-4063
Entity
Organization
Contact information
Practice address
1109 POPLAR ST, MURRAY, KY 42071-2360
(270) 759-4063
(270) 759-4920
Mailing address
1109 POPLAR ST, MURRAY, KY 42071-2360
(270) 759-4063
(270) 759-4920
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7404
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7465
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8334
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8841
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30866
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
34759
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
8334
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
8841
KY
Other
Enumeration date
06/13/2012
Last updated
07/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us