KENDRA JEAN DESIREE HACKMAN DMD
NPI 1245800333
Dentist - General Practice in Missoula, MT

Active since June 30, 2021
2901 BROOKS ST, MISSOULA, MT 59801(406) 541-2886 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2023, Jun 30, 2021 (2 updates tracked since 2021).

About Kendra Jean Desiree Hackman Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA JEAN DESIREE HACKMAN DMD (NPI 1245800333) is an individual general practice provider in Missoula, Montana, licensed in Montana (25907) and active in the NPI registry since June 2021. She maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1245800333
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKENDRA JEAN DESIREE HACKMANCredential: DMD
Location Address2901 BROOKS STMissoula, MT 59801-7703
Mailing Address3960 S Lake Dr Unit 7St Francis, WI 53235-5217 · (617) 697-7161
Sole ProprietorYes
Enumeration DateJune 30, 2021
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1245800333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MT · 25907 Licensed in WI · 1002640-15
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2901 BROOKS ST, Missoula, MT 59801

Secondary Practice Location 1

Location 11300 W Lincoln AveMilwaukee, WI 53215-3127 · Phone (414) 662-0235

Accepted Insurance

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
2901 BROOKS ST
MISSOULA, MT 59801
Nurse Practitioner (Adult Health)
2901 BROOKS ST
MISSOULA, MT 59801
Eyewear Supplier
2901 BROOKS ST, SOUTHGATE MALL
MISSOULA, MT 59801
Emergency Medicine
2901 BROOKS ST
MISSOULA, MT 59801
Dentist
2901 BROOKS ST, SOUTHGATE MALL
MISSOULA, MT 59801
Nurse Practitioner (Family)
2901 BROOKS ST
MISSOULA, MT 59801
Emergency Medicine
2901 BROOKS ST
MISSOULA, MT 59801
Nurse Practitioner (Family)
2901 BROOKS ST
MISSOULA, MT 59801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Hackman's NPI number?

The NPI number for Kendra Hackman is 1245800333. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Kendra Hackman located?

Kendra Hackman practices at 2901 Brooks St, Missoula, MT 59801. The listed phone number is (406) 541-2886.

What is Kendra Hackman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kendra Hackman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental and HRI Dental & Vision and 3 other insurers list Kendra Hackman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendra Hackman was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.