DR. Parker Roustio, DMD

NPI #1841976842 in O Fallon, Illinois

Provider Information

NPI Number: 1841976842
Entity Type: Individual
Name: DR. Parker Roustio, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 23, 2023
Last Updated: Apr 9, 2025

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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