Dr. Katherine Anne Decolibus is a Bolivar, Tennessee based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Katherine Anne Decolibus is 7389 for General Practice Dentistry in Tennessee. Her current practice location is 10825 Old Highway 64, Bolivar. Patients can reach her at 731-658-5291.
Dr. Katherine Anne Decolibus is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Katherine Anne Decolibus speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Katherine Anne Decolibus
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
10825 Old Highway 64, Bolivar, Tennessee, 38008-3599
Phone:
731-658-5291
Fax:
731-658-6536
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124037379
NPI Enumeration Date:
05 Aug, 2006
NPI Last Update On:
06 Aug, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katherine Anne Decolibus are as mentioned below.
License Number
Specialization
State
Status
7389
General Practice Dentistry
Tennessee
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Katherine Anne Decolibus such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
16170
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4132 Poplar Ave, Memphis, Tennessee
Zip:
38117-3618
Phone Number:
901-680-0377
Patients can reach Dr. Katherine Anne Decolibus at 10825 Old Highway 64, Bolivar, Tennessee or can call to book an appointment on 731-658-5291. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.