| Michael L Bobo, Dds, Md, Psc | |
|
1320 Pleasant Valley Ave Union City TN 38261-5958 | |
| (731) 885-7891 | |
| (731) 885-7894 |
| Full Name | Michael L Bobo, Dds, Md, Psc |
|---|---|
| Speciality | Dentist |
| Location | 1320 Pleasant Valley Ave, Union City, Tennessee |
| Authorized Official Name and Position | Michael L Bobo (PRESIDENT) |
| Authorized Official Contact | 7318857891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Bobo, Dds, Md, Psc 1320 Pleasant Valley Ave Union City TN 38261-5958 Ph: (731) 885-7891 | Michael L Bobo, Dds, Md, Psc 1320 Pleasant Valley Ave Union City TN 38261-5958 Ph: (731) 885-7891 |
| NPI Number | 1083800668 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 0547209272 |
|---|---|
| Medicare Enrollment ID | O20050502000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083800668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7404 (Tennessee) | Primary |
| Provider Name | Michael L Bobo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1417031436 PECOS PAC ID: 2264471994 Enrollment ID: I20111201000358 |
Gabe Sullivan Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 East Reelfoot Ave, Union City, TN 38261 Phone: 731-885-2277 | |
Carlos Rodriguez Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Medical Park Cir, Union City, TN 38261 Phone: 731-885-0355 Fax: 731-885-8224 | |
Johnny R Miller Dmd Family Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Russell St, Union City, TN 38261 Phone: 731-885-0851 Fax: 731-885-0895 | |
Smiles By Leduke Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 W Church St, Union City, TN 38261 Phone: 731-885-0497 Fax: 731-885-0244 |