John Costley, DDS

NPI 1689761488 · on the registry since 2006 · sole proprietor

Practice

Address: 500 Foothill Dr.
Salt Lake City, UT 84148
Phone: (801) 584-1206
Organisation at this address: Slc Va Medical Center
Va Salt Lake City Health Care System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 342

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah