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DR. JOHN M COSTLEY DDS
NPI 1689761488
Dentist - Periodontics in Salt Lake City, UT

Active since October 05, 2006
500 FOOTHILL DR., SALT LAKE CITY, UT 84148(801) 584-1206 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John M Costley Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN M COSTLEY DDS (NPI 1689761488) is an individual periodontics provider in Salt Lake City, Utah, licensed in Utah (275085-9923) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689761488
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JOHN M COSTLEYCredential: DDS
Location Address500 FOOTHILL DR.Salt Lake City, UT 84148
Mailing Address1214 E. Sherwood DrKaysville, UT 84037 · (801) 546-0400
Phone(801) 584-1206
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689761488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in UT · 275085-9923
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
500 FOOTHILL DR., Salt Lake City, UT 84148
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Other Names 1

Professional Name (2)Dr. John M Costley Dds

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIKA ROBERGE PHD
Psychologist (Clinical)
500 FOOTHILL DR., 116 OP
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
DR. DANIEL H PRIESTLY M.D.
Radiology (Diagnostic Radiology)
500 FOOTHILL DR.
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
ANDREW M WALKER DNP APRN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
500 FOOTHILL DR.
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
ELAINE GRACE ARTAJO IMPERIO PMHNP-BC
Student in an Organized Health Care Education/Training Program
500 FOOTHILL DR.
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Costley's NPI number?

The NPI number for John Costley is 1689761488. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Dr. John M Costley Dds.

Where is John Costley located?

John Costley practices at 500 Foothill Dr., Salt Lake City, UT 84148. The listed phone number is (801) 584-1206.

What is John Costley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for John Costley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.