OrganizationActive
Larry W. Crocker DMD, PC
NPI 1215034608 · General Practice Dentistry · Godfrey, IL
Larry W. Crocker DMD, PC is a General Practice Dentistry organization in Godfrey, IL (NPI 1215034608).
Provider details
- NPI number
- 1215034608
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Larry Pruett, Office Manager(618) 466-0733
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1317 Dadrian Professional Park
Godfrey, IL 62035-1686
Phone: (618) 466-0733
Fax: (618) 466-1433
Street-level locationGet directions
Mailing address
1317 D' Adrian Professional Park
Godfrey, IL 62035
Other names (DBA / former)
- Doing business as
- Dentistry With Tlc
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Larry W. Crocker DMD, PC's NPI number?
- Larry W. Crocker DMD, PC's National Provider Identifier (NPI) is 1215034608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Larry W. Crocker DMD, PC?
- Larry W. Crocker DMD, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Larry W. Crocker DMD, PC located?
- Larry W. Crocker DMD, PC's practice location on file with NPPES is 1317 Dadrian Professional Park, Godfrey, IL 62035-1686.
- What is Larry W. Crocker DMD, PC's phone number?
- The practice phone number listed in the NPPES registry for Larry W. Crocker DMD, PC is (618) 466-0733.
- Who is the authorized official for Larry W. Crocker DMD, PC?
- The authorized official listed on Larry W. Crocker DMD, PC's NPPES record is Larry Pruett, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Larry W. Crocker DMD, PC's NPI active?
- Yes — Larry W. Crocker DMD, PC's NPI (1215034608) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.