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DR. KATHERINE ANNE DECOLIBUS DDS
NPI 1124037379
Dentist - General Practice in Bolivar, TN

Active since August 05, 2006
10825 OLD HIGHWAY 64, BOLIVAR, TN 38008(731) 658-5291(731) 658-6536 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katherine Anne Decolibus Dds NPPES

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

DR. KATHERINE ANNE DECOLIBUS DDS (NPI 1124037379) is an individual general practice provider in Bolivar, Tennessee, licensed in Tennessee (7389) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124037379
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHERINE ANNE DECOLIBUSCredential: DDS
Location Address10825 OLD HIGHWAY 64Bolivar, TN 38008-3599
Mailing Address4132 Poplar AveMemphis, TN 38117-3618 · (901) 680-0377
Phone(731) 658-5291
Fax(731) 658-6536
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 6, 2009
✔ NPI 1124037379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 7389
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10825 OLD HIGHWAY 64, Bolivar, TN 38008
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Other Identifiers 1

Medicaid16170TN

Other Providers at the Same Location NPPES 20

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

DEBRA DIANNE SAVAGE RN
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291
MRS. CANDICE D TAYLOR RN
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291
MARY ROSS
Registered Nurse (Community Health)
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291
KRISTY LEANN HOLLOWAY RN
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291
MRS. ETHEL ANNETTE BOWKER RNES
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291
MEGHAN CURTISE LAMBERT-AGNEW RN
Registered Nurse (Community Health)
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291
KRISTIE M TEAGUE RN
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291
VERRIE ROBERTSON
Nurse's Aide
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Hardeman County (731) 658-5291

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 Katherine Decolibus's NPI number?

The NPI number for Katherine Decolibus is 1124037379. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Katherine Decolibus located?

Katherine Decolibus practices at 10825 Old Highway 64, Bolivar, TN 38008. The listed phone number is (731) 658-5291.

What is Katherine Decolibus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Katherine Decolibus was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.