Individual
DR. MICHAEL LEE BOBO
Active
Individual
DR. MICHAEL LEE BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
34759
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7465 DENTAL
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
34759
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000163
—
KY
05
—
64011711
—
KY
Enumeration date
10/25/2006
Last updated
07/12/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up