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BREANNA KRUCKEBERG DMD
NPI 1518339118
Dentist - General Practice in Madison Lake, MN

Active since October 22, 2015
516 MAIN ST, MADISON LAKE, MN 56063(507) 243-3747 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 13, 2025, Aug 19, 2019 (2 updates tracked since 2019).

About Breanna Kruckeberg Dmd NPPES

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

BREANNA KRUCKEBERG DMD (NPI 1518339118) is an individual general practice provider in Madison Lake, Minnesota, licensed in Minnesota (D13916) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1518339118
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameBREANNA KRUCKEBERGCredential: DMD
Location Address516 MAIN STMadison Lake, MN 56063-2027
Mailing AddressPo Box 458Madison Lake, MN 56063-0458 · (507) 243-3747
Phone(507) 243-3747
Sole ProprietorYes
Enumeration DateOctober 22, 2015
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1518339118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D13916
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.
Also ListedDentistTaxonomy 122300000X · License D009327 (AZ), D13916 (MN)
516 MAIN ST, Madison Lake, MN 56063
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

BULLDOG ADVENTURES, PLLC
Dentist (General Practice)
516 MAIN ST
MADISON LAKE, MN 56063
Blue Earth County (507) 243-3747

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 Breanna Kruckeberg's NPI number?

The NPI number for Breanna Kruckeberg is 1518339118. It was assigned to this individual provider in the NPPES registry on October 22, 2015.

Where is Breanna Kruckeberg located?

Breanna Kruckeberg practices at 516 Main St, Madison Lake, MN 56063. The listed phone number is (507) 243-3747.

What is Breanna Kruckeberg's specialty?

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

What insurance does Breanna Kruckeberg accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 7 other insurers list Breanna Kruckeberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breanna Kruckeberg was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.