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KEANA S CRUSE LDT
NPI 1730036856
Dental Therapist in La Conner, WA

Active since March 16, 2026
17395 RESERVATION RD, LA CONNER, WA 98257(360) 466-3900 Get Directions Write a Review

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

About Keana S Cruse Ldt NPPES

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

KEANA S CRUSE LDT (NPI 1730036856) is an individual dental therapist in La Conner, Washington, licensed in Washington (DETLDD70095998) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1730036856
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameKEANA S CRUSECredential: LDT
Location Address17395 RESERVATION RDLa Conner, WA 98257-8802
Mailing Address309 N 21st St Apt 1Mount Vernon, WA 98273-3565 · (509) 385-9299
Phone(360) 466-3900
Sole ProprietorYes
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1730036856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in WA · DETLDD70095998
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
17395 RESERVATION RD, La Conner, WA 98257
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Other Providers at the Same Location NPPES 13

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

SWINOMISH/UPPER SKAGIT DENTAL CLINIC
Public Health or Welfare
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-3900
ASIAH JEANMARIE GONZALEZ LDT
Dental Therapist
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-3900
CYNTHIA MELISA MCCANNEL RDH
Dental Hygienist
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-3900
LAURA LYNNE KASAYULI RDH
Dental Hygienist
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-3900
ANNA RAE DEGRAFFENREID
Dental Therapist
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 920-7061
RACHAEL R HOGAN DDS
Dentist (General Practice)
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-3900
RAYMOND DAILEY DDS
Dentist
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-3900
MRS. LEAH BETH THIBERT RDH
Dental Hygienist
17395 RESERVATION RD
LA CONNER, WA 98257
Skagit County (360) 466-3900

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 Keana Cruse's NPI number?

The NPI number for Keana Cruse is 1730036856. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Keana Cruse located?

Keana Cruse practices at 17395 Reservation Rd, La Conner, WA 98257. The listed phone number is (360) 466-3900.

What is Keana Cruse's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Keana Cruse was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.