| Dr Katherine Anne Decolibus, DDS | |
|
10825 Old Highway 64, Bolivar, TN 38008-3599 | |
| (731) 658-5291 | |
| (731) 658-6536 |
| Full Name | Dr Katherine Anne Decolibus |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 10825 Old Highway 64, Bolivar, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124037379 | NPI | - | NPPES |
| 16170 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7389 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katherine Anne Decolibus, DDS 4132 Poplar Ave, Memphis, TN 38117-3618 Ph: (901) 680-0377 | Dr Katherine Anne Decolibus, DDS 10825 Old Highway 64, Bolivar, TN 38008-3599 Ph: (731) 658-5291 |
Dr. Richard Earl Berryman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 W Market St, Bolivar, TN 38008 Phone: 731-658-5551 Fax: 731-658-3979 | |
Dr. Anita Jo Parks, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 390 Railroad St Ste D, Bolivar, TN 38008 Phone: 731-658-6112 Fax: 731-658-6059 | |
Louis E Bogard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10825 Old Hwy 64, Bolivar, TN 38008 Phone: 731-658-5291 Fax: 731-658-6536 | |
Dr. Renita Gail Bufford-jones, Dentist Medicare: Not Enrolled in Medicare Practice Location: 407 W Lafayette St, Bolivar, TN 38008 Phone: 731-659-2885 Fax: 731-659-2886 | |
Dr. Thomas Gregory Wilson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 South Porter Street, Bolivar, TN 38008 Phone: 731-658-5313 Fax: 731-658-5313 |