Breanna Kruckeberg, DMD

NPI 1518339118 · on the registry since 2015 · sole proprietor

Practice

Address: 516 Main St
Madison Lake, MN 56063
Phone: (507) 243-3747
Organisation at this address: Bulldog Adventures, Pllc
Bryan D. Johnson, Dds, Pa
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 122300000X
122300000X
Licence states on file: AZ, MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota