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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREANNA KRUCKEBERG, DMD

Active Sole Proprietor

BREANNA KRUCKEBERG, DMD is a General Dentistry healthcare provider located in MADISON LAKE, Minnesota. NPI 1518339118 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MADISON LAKE, MN

Registration Details

NPI Number
1518339118
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2015 (10.79717759847 yrs)
Last Updated
Mar 13, 2025
Licenses
D009327 (AZ)
D13916 (MN)
D13916 (MN)
Sole Proprietor
Yes

Practice Information

Address
516 MAIN ST
MADISON LAKE, MN, 560632027
Browse MN providers · Browse ZIP 56063
Phone
5072433747
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Dentist
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.