Dexterous hands must simultaneously track precise finger trajectories and maintain safe, compliant contact -- objectives in tension for any fixed-gain controller. We present an actuator-agnostic Impedance Model Predictive Control (Impedance MPC) framework for dexterous fingers, instantiating the constant-$A_d$ offset-free architecture established for physical human-robot interaction (pHRI); its stability, recursive-feasibility, and input-to-state-stability guarantees are inherited by preserving the architectural assumptions. An algebraic feedforward reduces the tendon transmission -- hydraulic, cable, pneumatic, twisted-string, or series-elastic -- to a constant-coefficient double integrator, so the QP cost inverse is precomputed offline and a 10-step receding-horizon quadratic program runs at 500\,Hz while enforcing hard constraints on contact force (ISO/TS 15066), actuation limits, and jerk. An encoder-only augmented-Kalman disturbance state drives steady-state error to zero under any constant contact load. On a hydraulically actuated finger -- the worked example platform, adding pressure and cavitation constraints -- the 500\,Hz Kalman MPC attains 0.5\,mrad RMS, 0.1\,mrad steady-state, and 6.6\,mrad peak deflection under 1.5\,Nm contact: 183$\times$, 1500$\times$, and 23$\times$ better than classical impedance. The realized first-move stiffness (18$\to$323\,Nm/rad with update rate) is independently verified. The architecture scales to a 16-DOF LEAP Hand MuJoCo simulation, recovering from 2.5\,N grasp-load disturbances within 0.7\,s.