SHANNON MARIE KRUCKEBERG RDH
NPI 1003002882
Dental Hygienist in Claremont, MN

Q: What is Shannon Kruckeberg's NPI number?

The NPI number for Shannon Kruckeberg is 1003002882. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Q: What is Shannon Kruckeberg's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Active since September 14, 2007

63407 130TH AVE, CLAREMONT, MN 55924(507) 319-6845 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Marie Kruckeberg Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MARIE KRUCKEBERG RDH (NPI 1003002882) is an individual dental hygienist in Claremont, Minnesota, licensed in Minnesota (H6343) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1003002882

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameSHANNON MARIE KRUCKEBERGCredential: RDH

Location Address63407 130TH AVEClaremont, MN 55924-4656

Mailing Address63407 130th AveClaremont, MN 55924-4656 · (507) 319-6845

Phone(507) 319-6845

Sole ProprietorYes

Enumeration DateSeptember 14, 2007

Last NPPES UpdateNovember 16, 2009

✔ NPI 1003002882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MN · H6343

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

63407 130TH AVE, Claremont, MN 55924

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHY SMILES, INC.

Voluntary or Charitable

63407 130TH AVE
CLAREMONT, MN 55924

Dodge County (507) 319-6845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Kruckeberg's NPI number?

The NPI number for Shannon Kruckeberg is 1003002882. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Shannon Kruckeberg located?

Shannon Kruckeberg practices at 63407 130th Ave, Claremont, MN 55924. The listed phone number is (507) 319-6845.

What is Shannon Kruckeberg's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Shannon Kruckeberg was last updated on November 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.