John M Costley in Salt Lake City - Periodontics
John M Costley - NPI 1689761488
John M Costley is a Periodontics in Salt Lake City, Utah. John M Costley practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John M Costley is 1689761488. The last update date is 2007-07-08.
John M Costley's current location address is 500 Foothill Dr., Salt Lake City, Utah. You can contact this provider via phone number 8015841206. The mailing address for John M Costley is 500 Foothill Dr., Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M Costley |
|---|---|
| Address | 500 Foothill Dr., Salt Lake City, Utah |
| Phone Number | 8015841206 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689761488 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 Foothill Dr. |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84148 |
| Phone Number | 8015841206 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 275085-9923 |
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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 structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John M Costley by the Centers for Medicare & Medicaid Services?
The John M Costley has been assigned the NPI (National Provider Identifier) 1689761488 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John M Costley is physically located?
The John M Costley is physically situated at the following address: 500 Foothill Dr., Salt Lake City, UT, 84148.
What is the John M Costley's area of specialization and corresponding taxonomy classification?
The John M Costley's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date was the 1689761488 assigned to John M Costley?
The John M Costley was issued its 1689761488 on 2006-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John M Costley most recently updated?
The details pertaining to the John M Costley, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.