IndividualActive
Katherine Decolibus, DDS
NPI 1124037379 · General Practice Dentistry · Bolivar, TN
Katherine Decolibus, DDS is a General Practice Dentistry provider in Bolivar, TN (NPI 1124037379).
Provider details
- NPI number
- 1124037379
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 7389 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10825 Old Highway 64
Bolivar, TN 38008-3599
Phone: (731) 658-5291
Fax: (731) 658-6536
Street-level locationGet directions
Mailing address
4132 Poplar Ave
Memphis, TN 38117-3618
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2009-08-06
Frequently asked questions
- What is Katherine Decolibus's NPI number?
- Katherine Decolibus's National Provider Identifier (NPI) is 1124037379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katherine Decolibus's specialty?
- Katherine Decolibus is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Katherine Decolibus located?
- Katherine Decolibus's practice location on file with NPPES is 10825 Old Highway 64, Bolivar, TN 38008-3599.
- What is Katherine Decolibus's phone number?
- The practice phone number listed in the NPPES registry for Katherine Decolibus is (731) 658-5291.
- Is Katherine Decolibus's NPI active?
- Yes — Katherine Decolibus's NPI (1124037379) is active in the NPPES registry as of the last update on 2009-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.