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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENDRA JEAN DESIREE HACKMAN, DMD

Active Sole Proprietor

KENDRA JEAN DESIREE HACKMAN, DMD is a General Dentistry healthcare provider located in MISSOULA, Montana. NPI 1245800333 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MISSOULA, MT

Registration Details

NPI Number
1245800333
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2021 (5.1015380216836 yrs)
Last Updated
Jul 10, 2023
Licenses
1002640-15 (WI)
25907 (MT)
Sole Proprietor
Yes

Practice Information

Address
2901 BROOKS ST
MISSOULA, MT, 598017703
Browse MT providers · Browse ZIP 59801
Phone
4065412886
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in MISSOULA, MT

Name Credential NPI
DR. ANNE MARGARET BREUM D.M.D. 1750386074
DR. ANDREW C ALTHAUSER DDS 1245278647
DR. BRAD J WALL DMD 1619072444
JASON E. HELMS D.M.D. 1841384849
DR. KEVIN A MILTKO DDS 1184706574
DR. MATTHEW L HEAPHY DDS 1063584829
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.