IndividualActive
Keith Krueger, DMD
NPI 1720044126 · Oral and Maxillofacial Pathology Dentistry · Bend, OR
Provider details
- NPI number
- 1720044126
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- License
- D6629 (OR)
Specialties & taxonomies
Dental Providers
Practice location
1475 Sw Chandler Ave
Suite 101
Bend, OR 97702-3238
Phone: (541) 617-3993
Fax: (541) 617-0030
Approximate (ZIP-level) locationGet directions
Mailing address
1475 Sw Chandler Ave
Bend, OR 97702-3238
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.