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

Dr. Michael Lee Bobo, DDSMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1417031436

Dr. Michael Lee Bobo, DDSMD is a Maxillofacial Surgery in Murray, Kentucky. Graduated from Vanderbilt University School of Medicine in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
29
Trained at
Vanderbilt University School of Medicine
Licensed in
KY
In the registry since
2006
Specialties on file
3

Practice location Address checks out

1109 Poplar St
Murray, KY 42071
Phone: (270) 759-4063
Fax: (270) 759-4920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1417031436
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMD
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 12, 2012
Mailing address1109 Poplar Street, Murray, KY 42071

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Murray