Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John M Costley, DDS

Individual provider Periodontics · NPI 1689761488

Dr. John M Costley, DDS is a Periodontics in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

500 Foothill Dr
Salt Lake City, UT 84148
Phone: (801) 584-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 275085-9923 (UT)

Record details

NPI number1689761488
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1214 E. Sherwood Dr, Kaysville, UT 84037

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