Aoua Coulibaly, DDS

Dentist · Portage, MI

Individual Active NPI

NPI number 1700042165

Practice location

5200 S Westnedge Ave
Portage, MI 49002-0405
Phone
(269) 382-6656

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NPI record

NPI
1700042165
Entity type
Individual (Type 1)
Enumeration date
August 5, 2008
Last updated
July 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901021822 MI
Dentist 122300000X 10184 MA

About Dr. Coulibaly

Aoua Coulibaly, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5200 S Westnedge Ave, Portage, MI 49002-0405. The NPI number 1700042165 was assigned on August 5, 2008 and the record was last updated on July 21, 2022.

Dr. Coulibaly lists 2 licenses in the registry: #2901021822 (MI) for Dentist; #10184 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Aoua Coulibaly, DDS?

The NPI number is 1700042165.

What is the phone number of Dr. Coulibaly?

The phone number listed for the practice location is (269) 382-6656.

Where is Dr. Coulibaly located?

5200 S Westnedge Ave, Portage, MI 49002-0405.

What is the taxonomy code for Dr. Coulibaly?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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