Individual provider · Type 1 NPI
Shannon Marie Kruckeberg, RDH
Dental Hygienist · Claremont, MN
Practice location
63407 130th Ave
Claremont, MN 55924-4656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | H6343 (MN) |
Dental Hygienist: 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…
Another provider at this address
About NPI 1003002882
Shannon Marie Kruckeberg, RDH's National Provider Identifier is 1003002882, issued on Sep 14, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Claremont, MN. The record was last updated on Nov 16, 2009.