Kendra Jean Desiree Hackman is a Missoula, Montana based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kendra Jean Desiree Hackman is
25907 for General Practice Dentistry in Montana. Her current practice location is
2901 Brooks St, Missoula. Patients can reach her at
406-541-2886.
Kendra Jean Desiree Hackman is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kendra Jean Desiree Hackman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kendra Jean Desiree Hackman |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2901 Brooks St, Missoula,
Montana, 59801-7703 |
| Phone: | 406-541-2886 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1245800333 |
| NPI Enumeration Date: | 30 Jun, 2021 |
| NPI Last Update On: | 10 Jul, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendra Jean Desiree Hackman are as mentioned below.
| License Number | Specialization | State | Status | |
| 25907 | General Practice Dentistry | Montana | Primary | |
| 1002640-15 | General Practice Dentistry | Wisconsin | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3960 S Lake Dr Unit 7,
St Francis, Wisconsin |
| Zip: | 53235-5217 |
| Phone Number: | 617-697-7161 |
Patients can reach Kendra Jean Desiree Hackman at
2901 Brooks St, Missoula, Montana or can
call to book an appointment on 406-541-2886.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.