Individual
COURTNEY ETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
4 WEST DR STE 170, CHESTERFIELD, MO 63017-1793
(636) 778-9345
Mailing address
1109 E LINDEN AVE, SAINT LOUIS, MO 63117-1378
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2019043361
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019.032433
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.032433
ILLINOIS DENTAL LICENSE
IL
01
—
2019043361
MISSOURI DENTAL LICENSE
MO
Enumeration date
12/12/2019
Last updated
12/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us