Individual
DR. PARKER NASH BENTON
Active
Individual
DR. PARKER NASH BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019019704
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2019019704
MO
Other
Enumeration date
08/05/2019
Last updated
08/26/2026
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