COURTNEY ETHINGTON


Address: 4 West Dr Ste 170, Chesterfield, MO 63017-1793
Phone: 6367789345

COURTNEY ETHINGTON (NPI# 1134767866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134767866
Entity Type Individual
Full Name COURTNEY ETHINGTON
Credential DMD, MSD
Practice Address 4 West Dr Ste 170
Chesterfield
MO 63017-1793
Mailing Address 1109 E Linden Ave
Saint Louis
MO 63117-1378
Practice Telephone 6367789345
Enumeration Date 2019-12-12
Last Update Date 2019-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
2019043361 MO Dental Providers
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
019.032433 IL Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MISSOURI DENTAL LICENSE 2019043361 01
IL ILLINOIS DENTAL LICENSE 019.032433 01

Office Location

Street Address 4 WEST DR STE 170
City CHESTERFIELD
State MO
Zip Code 63017-1793

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114549193 Kathryn E Bos Student in an Organized Health Care Education/Training Program 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 2020-05-12
1700415171 Charles H. Edwards Physical Therapist 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 2020-04-07
1003454562 Stephanie Henningsen Physical Therapy Assistant 307 S Woods Rd, Chesterfield, MO 63017 2019-12-16
1831746296 Star Lynn Sutton Occupational Therapy Assistant 15207 Olive Boulevard, Chesterfield, MO 63017 2019-08-21
1639738438 Van Amburg & Busiek Md's, LLC Pharmacy 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 2019-06-06
1306306865 Margaret Mary Wynn Nurse Practitioner 15740 South Outer Road, Chesterfield, MO 63017 2019-03-21
1205393089 Kimberly Danielle Nurse Practitioner 744 Forest Trace Dr, Chesterfield, MO 63017 2019-02-27
1457823965 Allison Joy Mcgrail Dietitian, Registered 45740 S Outer Forty Rd, Chesterfield, MO 63017 2018-12-21
1316418080 Julie Lefere Social Worker Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 2018-12-06
1336629641 Catherine Dolphin Smith Nurse Practitioner 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 2018-08-16
Find all providers in zip 63017

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790923365 Reza Movahed Dentist 1585 Woodlake Dr Ste 208, Chesterfield, MO 63017-5740 2009-02-04
1356405740 Chesterfield Oral Surgery Inc. Dentist 10110 Iron Bridge Rd, Chesterfield, VA 23832-6529 2006-12-20
1922195395 Timothy M Weber Dentist 222 S Woodsmill Road, Suite 720 North, Chesterfield, MO 63017 2006-10-06
1831155076 Brent L Kincaid Dentist 222 S Woods Mill Rd Ste 720n, Chesterfield, MO 63017-3650 2006-04-25
1225015068 Scott A. Drooger Dentist 17300 Outer Forty Road North, Suite 103, Chesterfield, MO 63005 2005-12-22
1114498946 Clarkson Oral Surgery Dentist 2997 Clarkson Rd, Ste 120, Chesterfield, MO 63017 2018-12-05
1447516794 Bradley Ross Carn Dentist 222 S Woods Mill Rd Ste 720n, Chesterfield, MO 63017 2012-04-11
1053549816 David E. Urbanek Dentist 17300 Outer Forty Road North, Suite 103, Chesterfield, MO 63005 2009-06-30
1871764233 Susan Ann Godwin Dentist 16216 Baxter Rd, Suite 250, Chesterfield, MO 63017-4770 2008-03-13
1073709226 Weber Dds PC Dentist 222 S Woods Mill Rd, Suite 720n, Chesterfield, MO 63017-3625 2007-09-21
Find all providers in CHESTERFIELD

Competitor

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City CHESTERFIELD
Zip Code 63017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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