LILY B AND SAMUEL D CROCCO DMD PLLC
NPI 1053143073
Clinic/Center - Dental in Castle Rock, WA

Active since August 19, 2024
358 FRONT AVE NW, CASTLE ROCK, WA 98611(760) 750-0087 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lily B And Samuel D Crocco Dmd Pllc NPPES

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

LILY B AND SAMUEL D CROCCO DMD PLLC (NPI 1053143073), doing business as Cowlitz River Dental, is a healthcare organization registered as a dental in Castle Rock, Washington and active in the NPI registry since August 2024. The organization lists Lily Crocco, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1053143073
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLILY B AND SAMUEL D CROCCO DMD PLLC
Location Address358 FRONT AVE NWCastle Rock, WA 98611-8996
Mailing Address25642 Berryhill RdEagle River, AK 99577-9603 · (760) 750-0087
Organization SubpartNo
Authorized OfficialLily CroccoOwner Dentist · (760) 750-0087
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 14, 2024
NPI 1053143073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
358 FRONT AVE NW, Castle Rock, WA 98611

Other Names 1

Doing Business AsCowlitz River Dental

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Dental)
358 FRONT AVE NW
CASTLE ROCK, WA 98611
Clinic/Center (Dental)
358 FRONT AVE NW
CASTLE ROCK, WA 98611
Dentist (General Practice)
358 FRONT AVE NW
CASTLE ROCK, WA 98611

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 Lily B And Samuel D Crocco Dmd PLLC's NPI number?

The NPI number for Lily B And Samuel D Crocco Dmd PLLC is 1053143073. It was assigned to this organization in the NPPES registry on August 19, 2024. The provider is doing business as Cowlitz River Dental.

Where is Lily B And Samuel D Crocco Dmd PLLC located?

Lily B And Samuel D Crocco Dmd PLLC is located at 358 Front Ave NW, Castle Rock, WA 98611. The listed phone number is (760) 750-0087.

What is Lily B And Samuel D Crocco Dmd PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Lily B And Samuel D Crocco Dmd PLLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.