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DR. GARY T KRUEGER DDS
NPI 1063571545
Dentist - General Practice in Medford, WI

Active since December 08, 2006
309 E BROADWAY, MEDFORD, WI 54451(715) 748-4111(715) 748-5896 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary T Krueger Dds NPPES

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

DR. GARY T KRUEGER DDS (NPI 1063571545) is an individual general practice provider in Medford, Wisconsin, licensed in Wisconsin (2791015) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063571545
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY T KRUEGERCredential: DDS
Location Address309 E BROADWAYMedford, WI 54451
Mailing AddressPo Box 504, 309 E BroadwayMedford, WI 54451 · (715) 748-4111 · Fax (715) 748-4896
Phone(715) 748-4111
Fax(715) 748-5896
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063571545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2791015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
309 E BROADWAY, Medford, WI 54451
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Other Providers at the Same Location NPPES 2

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

DR. DANIEL P MISKULIN DDS
Dentist
309 E BROADWAY
MEDFORD, WI 54451
Taylor County (715) 748-4111
MEDFORD DENTAL CLINIC SC
Dentist (General Practice)
309 E BROADWAY
MEDFORD, WI 54451
Taylor County (715) 748-4111

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 Gary Krueger's NPI number?

The NPI number for Gary Krueger is 1063571545. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Gary Krueger located?

Gary Krueger practices at 309 E Broadway, Medford, WI 54451. The listed phone number is (715) 748-4111.

What is Gary Krueger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gary Krueger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.