Kendra Jean Desiree Hackman, DMD

NPI #1245800333 in Missoula, Montana

Provider Information

NPI Number: 1245800333
Entity Type: Individual
Name: Kendra Jean Desiree Hackman, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 30, 2021
Last Updated: Jul 10, 2023

Practice Location

Address: 2901 BROOKS ST
City: Missoula
State: Montana
ZIP Code: 59801-7703
Phone: (406) 541-2886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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