Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245800333 Individual Practitioner Female Practitioner

Dr. Kendra Jean Desiree Hackman , DMD

Dentist - General Practice • Missoula, MT

Professional Overview & Biography Verified Profile Summary

Dr. Kendra Hackman, DMD is a registered healthcare professional specializing in Dentist - General Practice in Missoula, MT. Practice services are available at 2901 BROOKS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2901 Brooks St

Missoula, MT 598017703

Telephone 4065412886
Associated Practice Facility / Clinic
🏢 Luxottica Of America Inc. Facility NPI 1336294404

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Missoula, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
51 Specialists

Practicing in Missoula, MT (489 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MT 25907

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 1002640-15

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1300 W Lincoln Ave

Milwaukee, WI 532153127

Phone: 4146620235

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1164560843

Doctor of Dental Surgery

NPI 1386759744

Doctor of Dental Surgery

Dr. Gregory Swica , DDS

Dentist - General Practice

NPI 1700097607

Doctor of Dental Surgery

Dr. Annette Dusseau , DDS

Dentist - General Practice

NPI 1700097805

Doctor of Dental Surgery

Rachel Hansen , RDH

Dental Hygienist

NPI 1861916231

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 10, 2023

Registered at 2901 BROOKS ST, MISSOULA, MT 598017703 (Tel: 4065412886)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2023

Dentist (License #1002640-15 in WI)

NPI Profile Active June 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2021

Registered at 1300 W LINCOLN AVE, MILWAUKEE, WI 532153127 (Tel: 4146620235)

📍
Updated Business Mailing Address June 30, 2021

Registered at 3960 S LAKE DR UNIT 7, ST FRANCIS, WI 532355217 (Tel: 6176977161)

👤
Provider Name / Credentials Updated June 30, 2021

Recorded as KENDRA HACKMAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kendra Hackman. Be the first to share your experience!

Sign in to leave a review for Dr. Kendra Hackman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1245800333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2021
Last Update: July 10, 2023
Sole Proprietor: Yes

Mailing Address

3960 S Lake Dr Unit 7

St Francis, WI 532355217

Phone: 6176977161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.