Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA KRUCKEBERG, DMD
Active Sole ProprietorBREANNA 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 STMADISON LAKE, MN, 560632027Browse 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.