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Active NPI 1841976842 Individual Practitioner Male Practitioner

Dr. Parker Roustio , DMD

Dentist - General Practice • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Parker Roustio, DMD is a registered healthcare professional specializing in Dentist - General Practice in O Fallon, IL. Practice services are available at 1002 E WESLEY DR STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1002 E Wesley Dr Ste 200

O Fallon, IL 622696143

Telephone 6186287080
Fax 6186289235
Associated Practice Facility / Clinic
🏢 Parker Roustio Dmd Inc. Facility NPI 1215899091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
15 Specialists

Practicing in O Fallon, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.034489

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Richard Greiff , DDS

Dentist - General Practice

NPI 1134135270

Doctor of Dental Surgery

Dr. Harold Bean , DDS

Dentist - General Practice

NPI 1235233438

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 09, 2025

Registered at 1002 E WESLEY DR STE 200, O FALLON, IL 622696143 (Tel: 6186287080)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2025

Dentist (License #019.034489 in IL)

NPI Profile Active June 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2023

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3093080196)

📍
Updated Business Mailing Address June 23, 2023

Registered at 8422 BRAESWOOD ESTATES DR, O FALLON, IL 622694247

👤
Provider Name / Credentials Updated June 23, 2023

Recorded as PARKER ROUSTIO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 23, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841976842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2023
Last Update: April 09, 2025
Sole Proprietor: No

Mailing Address

8422 Braeswood Estates Dr

O Fallon, IL 622694247

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.