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

Kendra Jean Desiree Hackman, DMD

Individual provider General Practice Dentistry · NPI 1245800333

Kendra Jean Desiree Hackman, DMD is a General Practice Dentistry in Missoula, Montana. Practices as a sole proprietor and works from 2 locations. Licensed in Montana and Wisconsin.

Licensed in
MT, WI
In the registry since
2021
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2901 Brooks St
Missoula, MT 59801-7703
Phone: (406) 541-2886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 W Lincoln Ave, Milwaukee, WI 53215-3127 — (414) 662-0235

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 25907 (MT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 1002640-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245800333
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address3960 S Lake Dr Unit 7, St Francis, WI 53235-5217

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