Parker Roustio Dmd Inc.

NPI #1215899091 in O Fallon, Illinois

Provider Information

NPI Number: 1215899091
Entity Type: Organization
Organization Name: Parker Roustio Dmd Inc.
Primary Specialty: Dentist
Enumeration Date: Dec 1, 2025
Last Updated: Dec 1, 2025

Practice Location

Address: 1002 E WESLEY DR STE 200
City: O Fallon
State: Illinois
ZIP Code: 62269-6143
Phone: (618) 628-7080

Authorized Official

Name: PARKER ROUSTIO, DMD
Title: OWNER
Phone: (618) 628-7080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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