IndividualActive
Elio Reyes Rosales, D.D.S., M.S.D.
NPI 1285991935 · Periodontics · Swansea, IL
Provider details
- NPI number
- 1285991935
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S., M.S.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 019027808 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
11 Park Pl
Suite a
Swansea, IL 62226-2925
Phone: (618) 233-7300
Approximate (ZIP-level) locationGet directions
Mailing address
933 Esic Dr
Edwardsville, IL 62025-3813
Registry dates
- Enumerated
- 2012-04-19
- Last updated
- 2012-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.