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

Dr. Parker Roustio, DMD

Individual provider General Practice Dentistry · NPI 1841976842

Dr. Parker Roustio, DMD is a General Practice Dentistry in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1002 E Wesley Dr Ste 200
O Fallon, IL 62269-6143
Phone: (618) 628-7080
Fax: (618) 628-9235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.034489 (IL)

Record details

NPI number1841976842
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address8422 Braeswood Estates Dr, O Fallon, IL 62269-4247

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