Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lily B and Samuel D Crocco DMD PLLC

Organization Dental Clinic/Center · NPI 1053143073

Lily B and Samuel D Crocco DMD PLLC is a Dental Clinic/Center in Castle Rock, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

358 Frnt Ave NW
Castle Rock, WA 98611-8996
Phone: (760) 750-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1053143073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lily Crocco — Owner Dentist · (760) 750-0087
Other names Cowlitz River Dental
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 14, 2024
Mailing address25642 Berryhill Rd, Eagle River, AK 99577-9603

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