Provider Demographics
NPI:1154120277
Name:CASEY ALLMAN DMD LLC
Entity type:Organization
Organization Name:CASEY ALLMAN DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:505-792-1585
Mailing Address - Street 1:5740 NIGHT WHISPER RD NW STE 100
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-1576
Mailing Address - Country:US
Mailing Address - Phone:505-803-8187
Mailing Address - Fax:505-792-1587
Practice Address - Street 1:5740 NIGHT WHISPER RD NW STE 100
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-1576
Practice Address - Country:US
Practice Address - Phone:505-792-1585
Practice Address - Fax:505-792-1587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental