Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Casey Lee Hallberg, DMD

Individual provider General Practice Dentistry · NPI 1720604465

Dr. Casey Lee Hallberg, DMD is a General Practice Dentistry in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2222 E Cedar Ave
Flagstaff, AZ 86004-1988
Phone: (928) 774-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D010712 (AZ)

Record details

NPI number1720604465
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address2222 E Cedar Ave, Flagstaff, AZ 86004-1988

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