Ethington, Courtney

Ethington, Courtney is an individual health care provider with primary practice located at 4 West Dr Ste 170 , Chesterfield MO 63017-1793. She recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Ethington, Courtney can be contacted via phone (636) 778-9345.

Contact Information

Primary practice address
4 West Dr Ste 170 Chesterfield MO 63017-1793
Phone: (636) 778-9345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 019.032433 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2019043361 Missouri

Profile Details

NPI number 1134767866
LBN Legal business name Ethington, Courtney
Credentials DMD, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2019
Last updated Dec 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134767866 NPPES
Illinois Other 019.032433 ILLINOIS DENTAL LICENSE
Illinois Other 2019043361 ILLINOIS DENTAL LICENSE

Popular Providers