Dr. Michael Lee Bobo, DDS MD
Dr. Michael Lee Bobo is a Oral and Maxillofacial Surgery (Dentist) provider (Dentist) practicing in Murray, KY, registered in the NPPES registry with NPI 1417031436 since 2006.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1417031436 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Michael Lee Bobo |
| Credential | DDS MD |
| Sex | Male |
| Practice address | Murray, KY, 42071 |
| Phone | 2707594063 |
| Fax | 2707594920 |
| Enumeration date | 2006-10-25 |
| Last updated in NPPES | 2012-07-12 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Primary | 7465 DENTAL | KY |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | Secondary | 34759 | KY |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | Secondary | 34759 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60000163 | Medicaid | KY | — |
| 64011711 | Medicaid | KY | — |
Copy-ready billing details
Provider: Michael Bobo, DDS MD NPI: 1417031436 Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist)) Address: Murray, KY, 42071
Verify this record
Cross-check NPI 1417031436 against the authoritative CMS record: view Dr. Michael Lee Bobo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-07-12.