DR. LILY BARBOSA CROCCO DMD
NPI 1780255539
Clinic/Center - Dental in Castle Rock, WA
Active since July 02, 2021
About Dr. Lily Barbosa Crocco Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LILY BARBOSA CROCCO DMD (NPI 1780255539) is an individual dental provider in Castle Rock, Washington, licensed in Washington (DENT.DE.61580977) and active in the NPI registry since July 2021.
NPPES Registry Identity
NPI1780255539
Entity TypeIndividualFemale
Primary Taxonomy261QD0000X
Provider Legal NameDR. LILY BARBOSA CROCCOCredential: DMD
Location Address358 FRONT AVE NWCastle Rock, WA 98611-8996
Mailing Address140 Grand Ridge RdToutle, WA 98649-4200 · (360) 274-9100
Phone(360) 274-9100
Sole ProprietorYes
Enumeration DateJuly 2, 2021
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1780255539 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WA · DENT.DE.61580977
358 FRONT AVE NW, Castle Rock, WA 98611
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780255539, enumerated as an "individual" on July 02, 2021.
The provider is located at 358 FRONT AVE NW CASTLE ROCK, WA 98611 and the phone number is (360) 274-9100.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
