Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael L Bobo DDS MD PSC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1518141100

Michael L Bobo DDS MD PSC is an Oral and Maxillofacial Surgery (Dentist) in Murray, Kentucky. Licensed in Kentucky and Tennessee. Registered with an NPI since 2007.

Licensed in
KY, TN
In the registry since
2007
Specialties on file
4
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1109 Poplar St
Murray, KY 42071-2360
Phone: (270) 759-4063
Fax: (270) 759-4920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 34759 (KY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 7465 (KY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 7404 (TN)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 30866 (TN)

Record details

NPI number1518141100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bobo — Owner/President · (270) 759-4063
NPI enumeratedDecember 19, 2007
Last updated in NPPESAugust 4, 2016
Mailing address1109 Poplar St, Murray, KY 42071-2360

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