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John Costley, DDS — NPI 1689761488, Salt Lake City, UT | NPI Central

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NPI 1689761488

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John Costley, DDS

NPI 1689761488 · Periodontics · Salt Lake City, UT

Provider details

NPI number: 1689761488
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 275085-9923 (UT)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 275085-9923 (UT)
Dental Providers

Practice location

500 Foothill Dr.

Salt Lake City, UT 84148

Phone: (801) 584-1206

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

1214 E. Sherwood Dr

Kaysville, UT 84037

Registry dates

Enumerated: 2006-10-05
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.