Provider Demographics
NPI:1437591385
Name:USELTON, COURTNEY PAIGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:PAIGE
Last Name:USELTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:PAIGE
Other - Last Name:WALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 MCGREGOR DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2264
Mailing Address - Country:US
Mailing Address - Phone:412-841-9262
Mailing Address - Fax:
Practice Address - Street 1:1580 MCLAUGHLIN RUN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-3100
Practice Address - Country:US
Practice Address - Phone:412-257-1150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-20
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADRP12101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102983677Medicaid