Individual
DR. MICHAEL LEE BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
1109 POPLAR STREET, MURRAY, KY 42071
(270) 759-4063
(270) 759-4920
Mailing address
1109 POPLAR STREET, MURRAY, KY 42071
(270) 759-4063
(270) 759-4920
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
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