person
Kendra Jean Desiree Hackman, DMD
Student in an Organized Health Care Education/Training Program in Missoula, Montana
NPI 1245800333

Kendra Jean Desiree Hackman is a Student in an Organized Health Care Education/Training Program based in St Francis, MT. Kendra Jean Desiree Hackman practices in Missoula, MT and has the professional credentials of DMD. The NPI Number for Kendra Jean Desiree Hackman is 1245800333 and holds a License No. 1002640-15 (Montana).

The current practice location address for Kendra Jean Desiree Hackman is 2901 Brooks St, Missoula, MT and can be reached out via phone at 406-541-2886.

Location: 2901 Brooks St, Missoula, MT, 53235-5217
person
Provider Profile Details
NPI Number
1245800333
Provider Name
Kendra Jean Desiree Hackman
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2901 Brooks St, Missoula, MT, 53235-5217
Phone Number
406-541-2886
Fax Number
Provider Enumeration Date
06/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2901 Brooks St
City
State
Zip
59801-7703
Phone Number
406-541-2886
Fax Number
person
Provider Business Mailing Address Details
Address
2901 Brooks St
City
State
Zip
59801-7703
Phone Number
406-541-2886
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
25907 (Montana)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
1002640-15 (Wisconsin)
Definition
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.
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