MEDICARE: NORTH BEND DENTAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1578412722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BEND DENTAL CARE LLC

Provider Business Mailing Address
First Line	:	133 E PARK ST
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045
Country	:	US
Telephone Number	:	425-888-2106
Fax Number	:	425-292-0953

Provider Business Practice Location Address
First Line	:	133 E PARK ST
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045
Country	:	US
Telephone Number	:	425-888-2106
Fax Number	:	425-292-0953

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER J ALLEMAND
Credential	:	D.D.S.
Telephone Number	:	425-888-2106

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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