IndividualActive
Brian Kruse, DMD
NPI 1851406748 · General Practice Dentistry · La Grande, OR
Provider details
- NPI number
- 1851406748
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D7796 (OR)
Specialties & taxonomies
Dental Providers
Practice location
1502 N Pine St Ste 2
La Grande, OR 97850-3543
Phone: (541) 963-6445
Fax: (541) 963-9012
Approximate (ZIP-level) locationGet directions
Mailing address
1502 N Pine St Ste 2
La Grande, OR 97850-3543
Registry dates
- Enumerated
- 2006-08-20
- 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.