Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Kruckeberg, DMD

Individual provider Dentist · NPI 1518339118

Breanna Kruckeberg, DMD is a Dentist in Madison Lake, Minnesota. Practices as a sole proprietor. Licensed in Arizona and Minnesota.

Licensed in
AZ, MN
In the registry since
2015
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

516 Main St
Madison Lake, MN 56063-2027
Phone: (507) 243-3747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D13916 (MN)
Dentist Taxonomy 122300000X · Licence D009327 (AZ)
Dentist Taxonomy 122300000X · Licence D13916 (MN)

Record details

NPI number1518339118
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 22, 2015
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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