Katherine Anne Decolibus in Memphis - General Practice

Katherine Anne Decolibus - NPI 1124037379

Katherine Anne Decolibus is a General Practice in Memphis, Tennessee. Katherine Anne Decolibus practices all healthcare services and medical treatments related to General Practice. The NPI Number for Katherine Anne Decolibus is 1124037379. The last update date is 2009-08-06.

Katherine Anne Decolibus's current location address is 4132 Poplar Ave, Memphis, Tennessee. You can contact this provider via phone number 9016800377. The mailing address for Katherine Anne Decolibus is 4132 Poplar Ave, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Katherine Anne Decolibus
Address 4132 Poplar Ave, Memphis, Tennessee
Phone Number 9016800377
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1124037379
Provider Enumeration Date 2006-08-05
Last Updated Date 2009-08-06

Provider Mailing Address Detail

Address 4132 Poplar Ave
City Memphis
State Tennessee (TN)
Post Code 381173618
Phone Number 9016800377
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16170 TN --

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FAQs about Katherine Anne Decolibus

What is the unique identification code assigned to Katherine Anne Decolibus by the Centers for Medicare & Medicaid Services?

The Katherine Anne Decolibus has been issued the NPI (National Provider Identifier) 1124037379. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Katherine Anne Decolibus's facilities are geographically located?

The facilities of Katherine Anne Decolibus are physically situated at the following location: 4132 Poplar Ave, Memphis, TN, 381173618.

What is Katherine Anne Decolibus's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Katherine Anne Decolibus is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When did the Katherine Anne Decolibus receive its 1124037379?

The Katherine Anne Decolibus was issued its 1124037379 on 2006-08-05, which is the date when the organization was assigned this unique identifier.

As of what date were the Katherine Anne Decolibus's details last updated?

The information pertaining to the Katherine Anne Decolibus, including its address, specialty, and other details, was most recently updated on 2009-08-06.

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