Search › Illinois › 1223G0001X
Parker Roustio, DMD
NPI 1841976842 · on the registry since 2023
Practice
- Address
- 1002 E Wesley Dr Ste 200
O Fallon, IL 62269 - Phone
- (618) 628-7080
- Fax
- (618) 628-9235
- Organisation at this address
- Parker Roustio Dmd Inc.
Harold J Bean Jr Dds PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois