Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Parker Roustio DMD Inc

Organization Dentist · NPI 1215899091

Parker Roustio DMD Inc is a Dentist in O Fallon, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1002 E Wesley Dr Ste 200
O Fallon, IL 62269-6143
Phone: (618) 628-7080
Fax: (618) 628-9235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1215899091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Parker Roustio — Owner · (618) 628-7080
NPI enumeratedDecember 1, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address1002 E Wesley Dr Ste 200, O Fallon, IL 62269-6143

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