# KATHERINE A. DECOLIBUS, DDS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245403708
- **Authorized official:** KATHERINE DECOLIBUS (OWNER)
- **Authorized official phone:** (901) 680-0377

## Contact information

- **Practice address:** 4132 POPLAR AVE, MEMPHIS, TN 38117-3618
- **Practice address phone:** (901) 680-0377
- **Practice address fax:** (901) 680-0377
- **Mailing address:** 4132 POPLAR AVE, MEMPHIS, TN 38117-3618
- **Mailing address phone:** (901) 680-0377
- **Mailing address fax:** (901) 680-0377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7389 | TN | Yes |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 04/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 214726 | — | TN |