MICHAEL L BOBO DDS MD PSC NPI 1083800668

NPI Information

  • NPI: 1083800668
  • Provider Name: MICHAEL L BOBO, DDS, MD, PSC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 1320 PLEASANT VALLEY AVE
    UNION CITY, TN
    ZIP 38261
  • Phone: (731) 885-7891

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NPI Details

MICHAEL L BOBO, DDS, MD, PSC is an oral and maxillofacial surgery dentist in Union City, TN. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MICHAEL L BOBO, DDS, MD, PSC NPI is 1083800668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1320 PLEASANT VALLEY AVE
UNION CITY, TN
ZIP 38261-958
Phone: (731) 885-7891
Fax: (731) 885-7894

The provider's authorized official is Michael L Bobo .
The authorized official title is President and has the following contact phone number (731) 885-7891.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 10/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery7404TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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