IndividualActive
Courtney Ethington, DMD, MSD
NPI 1134767866 · Oral and Maxillofacial Surgery (Dentist) · Chesterfield, MO
Provider details
- NPI number
- 1134767866
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MSD
- Sex
- Female
- Sole proprietor
- No
- License
- 019.032433 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4 West Dr Ste 170
Chesterfield, MO 63017-1793
Phone: (636) 778-9345
Approximate (ZIP-level) locationGet directions
Mailing address
1109 E Linden Ave
Saint Louis, MO 63117-1378
Registry dates
- Enumerated
- 2019-12-12
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.