PARKER ROUSTIO DMD INC.
NPI 1215899091
Dentist in O Fallon, IL

Active since December 01, 2025
1002 E WESLEY DR STE 200, O FALLON, IL 62269(618) 628-7080(618) 628-9235 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Parker Roustio Dmd Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKER ROUSTIO DMD INC. (NPI 1215899091) is a healthcare organization registered as a dentist in O Fallon, Illinois and active in the NPI registry since December 2025. The organization lists Parker Roustio, Owner, as its authorized official.

NPPES Registry Identity

NPI1215899091
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePARKER ROUSTIO DMD INC.
Location Address1002 E WESLEY DR STE 200O Fallon, IL 62269-6143
Mailing Address1002 E Wesley Dr Ste 200O Fallon, IL 62269-6143 · (618) 628-7080 · Fax (618) 628-9235
Fax(618) 628-9235
Organization SubpartNo
Authorized OfficialParker RoustioOwner · (618) 628-7080
Enumeration DateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
NPI 1215899091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1002 E WESLEY DR STE 200, O Fallon, IL 62269

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1002 E WESLEY DR STE 200
O FALLON, IL 62269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parker Roustio Dmd Inc.'s NPI number?

The NPI number for Parker Roustio Dmd Inc. is 1215899091. It was assigned to this organization in the NPPES registry on December 1, 2025.

Where is Parker Roustio Dmd Inc. located?

Parker Roustio Dmd Inc. is located at 1002 E Wesley Dr Ste 200, O Fallon, IL 62269. The listed phone number is (618) 628-7080.

What is Parker Roustio Dmd Inc.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Parker Roustio Dmd Inc. was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.