Kruckeberg, Breanna

Kruckeberg, Breanna is an sole proprietor health care provider with primary practice located at 516 Main St , Madison Lake MN 56063-2027. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Kruckeberg, Breanna can be contacted via phone (507) 243-3747.

Contact Information

Primary practice address
516 Main St Madison Lake MN 56063-2027
Phone: (507) 243-3747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D009327 Arizona
Dental Providers / Dentist 122300000X D13916 Minnesota
Dental Providers / General Practice 1223G0001X D13916 Minnesota

Profile Details

NPI number 1518339118
LBN Legal business name Kruckeberg, Breanna
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Mar 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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