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

Keana S Cruse, LDT

Individual provider Dental Therapist · NPI 1730036856

Keana S Cruse, LDT is a Dental Therapist in LA Conner, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

17395 Reservation Rd
LA Conner, WA 98257-8802
Phone: (360) 466-3900
Show map & directions

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

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DETLDD70095998 (WA)

Record details

NPI number1730036856
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDT
Sole proprietorYes
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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