KY TN ORAL SURGERY PLLC
NPI 1093077166
Oral & Maxillofacial Surgery in Murray, KY

Active since June 13, 2012
1109 POPLAR ST, MURRAY, KY 42071(270) 759-4063(270) 759-4920 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ky Tn Oral Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KY TN ORAL SURGERY PLLC (NPI 1093077166) is a healthcare organization registered as an oral & maxillofacial surgery in Murray, Kentucky and active in the NPI registry since June 2012. The organization lists Michael Lee Bobo, Partner/ Member, as its authorized official.

NPPES Registry Identity

NPI1093077166
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameKY TN ORAL SURGERY PLLC
Location Address1109 POPLAR STMurray, KY 42071-2360
Mailing Address1109 Poplar StMurray, KY 42071-2360 · (270) 759-4063 · Fax (270) 759-4920
Fax(270) 759-4920
Organization SubpartNo
Authorized OfficialMichael Lee BoboPartner/ Member · (270) 759-4063
Enumeration DateJune 13, 2012
Last NPPES UpdateJuly 11, 2012
NPI 1093077166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses Licensed in TN · 30866 Licensed in KY · 34759 Licensed in KY · 8841 Licensed in TN · 8334
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 7465 (KY), 8841 (KY), 7404 (TN), 8334 (TN)
1109 POPLAR ST, Murray, KY 42071

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Oral & Maxillofacial Surgery
1109 POPLAR ST
MURRAY, KY 42071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ky Tn Oral Surgery PLLC's NPI number?

The NPI number for Ky Tn Oral Surgery PLLC is 1093077166. It was assigned to this organization in the NPPES registry on June 13, 2012.

Where is Ky Tn Oral Surgery PLLC located?

Ky Tn Oral Surgery PLLC is located at 1109 Poplar St, Murray, KY 42071. The listed phone number is (270) 759-4063.

What is Ky Tn Oral Surgery PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Ky Tn Oral Surgery PLLC was last updated on July 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.