Individual provider · Type 1 NPI

John M. Costley, DDS

Periodontics · Salt Lake City, UT

NPI number 1689761488 Active

Practice location

500 Foothill Dr.
Salt Lake City, UT 84148

Call (801) 584-1206 Map

Mailing address

1214 E. Sherwood Dr
Kaysville, UT 84037

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X275085-9923 (UT)

Periodontics: 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.

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About NPI 1689761488

John M. Costley, DDS's National Provider Identifier is 1689761488, issued on Oct 5, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.