Individual provider · Type 1 NPI
Elio Reyes Rosales, DDS, M.S.D.
Periodontics · Swansea, IL
NPI number
1285991935
Active
Practice location
11 Park Pl, Suite A
Swansea, IL 62226-2925
Mailing address
3320 Rutger St
St. Louis, MO 63104-1122
Other practice locations
- 3320 Rutger St, St. Louis, MO 63104-1122 · (314) 724-4852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019027808 (IL) |
| Periodontics Primary | 1223P0300X | 021002297 (IL) |
| Periodontics | 1223P0300X | 2023030139 (MO) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
Other periodontics providers in Swansea
About NPI 1285991935
Elio Reyes Rosales, DDS, M.S.D.'s National Provider Identifier is 1285991935, issued on Apr 19, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Swansea, IL. The record was last updated on Sep 24, 2026.