Larry W. Crocker Dmd, PC
Larry W. Crocker Dmd, PC is a healthcare organization registered as General Practice Dentistry in Godfrey, IL, holding Type 2 (organization) NPI 1215034608 since 2006. The authorized official on file is Larry Pruett, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215034608 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Larry W. Crocker Dmd, PC |
| Other name | <Unavail> |
| Practice address | 1317 DADRIAN PROFESSIONAL PARK, Godfrey, IL, 62035 |
| Phone | 6184660733 |
| Fax | 6184661433 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Larry Pruett |
|---|---|
| Title | Office Manager |
| Phone | 6184660733 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | IL |
Copy-ready billing details
Provider: Larry W. Crocker Dmd, PC NPI: 1215034608 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1317 DADRIAN PROFESSIONAL PARK, Godfrey, IL, 62035
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1588617518 | Larry Crocker | Individual | General Practice Dentistry | Godfrey, IL |
| 1780621870 | Anna Smith | Individual | General Practice Dentistry | Godfrey, IL |
| 1003964081 | Anna R. Smith Dmd, PC | Organization | General Practice Dentistry | Godfrey, IL |
Verify this record
Cross-check NPI 1215034608 against the authoritative CMS record: view Larry W. Crocker Dmd, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Larry W. Crocker Dmd, PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.