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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.