Nowadays, dried lake beds constitute the largest source of saline dust storms, with serious environmental and health issues in the surrounding areas. In this study, we examined the spatial–temporal distribution of monthly and annual dust events of varying intensity (dust in suspension, blowing dust, dust storms) in the vicinity of the desiccated Urmia Lake in northwestern (NW) Iran, based on horizontal visibility data during 2009–2022. Dust in suspension, blowing dust and dust storm events exhibited different monthly patterns, with higher frequencies between March and October, especially in the southern and eastern parts of the Urmia Basin. Furthermore, the intra-annual variations in aerosol optical depth at 500 nm (AOD550) and Ångström exponent at 412/470 nm (AE) were investigated using Terra/Aqua MODIS (Moderate Resolution Imaging Spectroradiometer) data over the Urmia Lake Basin (36–39°N, 44–47°E). Monthly distributions of potential coarse aerosol (AE < 1) sources affecting the lower troposphere over the Urmia Basin were reconstructed, synergizing Terra/Aqua MODIS AOD550 for AE < 1 values and HYSPLIT_4 backward trajectories. The reconstructed monthly patterns of the potential sources were compared with the monthly spatial distribution of Terra MODIS AOD550 in the Middle East and Central Asia (20–70°E, 20–50°N). The results showed that deserts in the Middle East and the Aral–Caspian arid region (ACAR) mostly contribute to dust aerosol load over the Urmia Lake region, exhibiting higher frequency in spring and early summer. Local dust sources from dried lake beds further contribute to the dust AOD, especially in the western part of the Urmia Basin during March and April. The modeling (DREAM8-NMME-MACC) results revealed high concentrations of near-surface dust concentrations, which may have health effects on the local population, while distant sources from the Middle East are the main controlling factors to aerosol loading over the Urmia Basin.