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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN M COSTLEY, DDS

Active Sole Proprietor

DR. JOHN M COSTLEY, DDS is a Periodontology healthcare provider located in SALT LAKE CITY, Utah. NPI 1689761488 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SALT LAKE CITY, UT

Registration Details

NPI Number
1689761488
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2006 (19.81663886423 yrs)
Last Updated
Jul 8, 2007
License
275085-9923 (UT)
Sole Proprietor
Yes

Practice Information

Address
500 FOOTHILL DR.
SALT LAKE CITY, UT, 84148
Browse UT providers · Browse ZIP 84148
Phone
8015841206
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. GERALD STOHL SUMMERHAYS DDS, MS 1659306363
DR. JAMES C STOVER D.D.S 1518051655
DR. CHRISTIAN ANDRE NIELSEN D.D.S. 1114014784
RICHARD RIZZO 1407917123
DR. JON D MANWARING DDS 1750432449
MARK LEGRAND MANGELSON DDS, MS 1851439251
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.