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Dr. Larry Wayne Crocker, DMD
General Practice Dentistry in Godfrey, Illinois
NPI 1588617518

Larry Wayne Crocker is a General Practice Dentistry based in Godfrey, IL and is specialized in General Practice. Larry Wayne Crocker practices in Godfrey, IL and has the professional credentials of DMD. The NPI Number for Larry Wayne Crocker is 1588617518 and holds a License No. (Illinois).

The current practice location address for Larry Wayne Crocker is 1317 Dadrian Professional Park, Godfrey, IL and can be reached out via phone at 618-466-0733 and via fax at 618-466-1433.

Location: 1317 Dadrian Professional Park, Godfrey, IL, 62035-1686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588617518
Provider Name
Larry Wayne Crocker
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1317 Dadrian Professional Park, Godfrey, IL, 62035-1686
Phone Number
618-466-0733
Fax Number
618-466-1433
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1317 Dadrian Professional Park
City
Godfrey
State
Illinois
Zip
62035-1686
Phone Number
618-466-0733
Fax Number
618-466-1433
person
Provider Business Mailing Address Details
Address
1317 Dadrian Professional Park
City
Godfrey
State
Illinois
Zip
62035-1686
Phone Number
618-466-0733
Fax Number
618-466-1433
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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