Katherine Anne Decolibus, DDS

General Practice Dentistry · Bolivar, TN

Individual Active NPI

NPI number 1124037379

Practice location

10825 Old Highway 64
Bolivar, TN 38008-3599
Phone
(731) 658-5291
Fax
(731) 658-6536

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NPI record

NPI
1124037379
Entity type
Individual (Type 1)
Enumeration date
August 5, 2006
Last updated
August 6, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7389 TN

Mailing address

4132 Poplar Ave
Memphis, TN 38117-3618
Phone
(901) 680-0377

About Dr. Decolibus

Katherine Anne Decolibus, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10825 Old Highway 64, Bolivar, TN 38008-3599. The NPI number 1124037379 was assigned on August 5, 2006 and the record was last updated on August 6, 2009.

Dr. Decolibus lists a license in the registry: #7389 (TN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katherine Anne Decolibus, DDS?

The NPI number is 1124037379.

What is the phone number of Dr. Decolibus?

The phone number listed for the practice location is (731) 658-5291.

Where is Dr. Decolibus located?

10825 Old Highway 64, Bolivar, TN 38008-3599.

What is the taxonomy code for Dr. Decolibus?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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