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Dr. Katherine Anne Decolibus, DDS
General Practice Dentistry in Bolivar, Tennessee
NPI 1124037379

Katherine Anne Decolibus is a General Practice Dentistry based in Memphis, TN and is specialized in General Practice. Katherine Anne Decolibus practices in Bolivar, TN and has the professional credentials of DDS. The NPI Number for Katherine Anne Decolibus is 1124037379 and holds a License No. 7389 (Tennessee).

The current practice location address for Katherine Anne Decolibus is 10825 Old Highway 64, Bolivar, TN and can be reached out via phone at 731-658-5291 and via fax at 731-658-6536.

Location: 10825 Old Highway 64, Bolivar, TN, 38117-3618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124037379
Provider Name
Katherine Anne Decolibus
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
10825 Old Highway 64, Bolivar, TN, 38117-3618
Phone Number
731-658-5291
Fax Number
731-658-6536
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16170 05 TN
institution
Provider Business Practice Location Address Details
Address
10825 Old Highway 64
City
Bolivar
State
Tennessee
Zip
38008-3599
Phone Number
731-658-5291
Fax Number
731-658-6536
person
Provider Business Mailing Address Details
Address
10825 Old Highway 64
City
Bolivar
State
Tennessee
Zip
38008-3599
Phone Number
731-658-5291
Fax Number
731-658-6536
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7389 (Tennessee)
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.
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