Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jalissa Joy Kruckman, DDS

Individual provider General Practice Dentistry · NPI 1114238821

Jalissa Joy Kruckman, DDS is a General Practice Dentistry in Waconia, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

576 Cherry Dr
Waconia, MN 55387
Phone: (952) 679-4461
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D12793 (MN)

Record details

NPI number1114238821
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 28, 2010
Last updated in NPPESJuly 16, 2018

Other providers in Waconia