Organization · Type 2 NPI
Southcentral Foundation
Dental Clinic/Center · Port Alsworth, AK
NPI number
1114480167
Active
Practice location
1 Flight Line Rd
Port Alsworth, AK 99653-9801
Mailing address
PO Box 35151
Seattle, WA 98124-5151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1114480167
Southcentral Foundation's National Provider Identifier is 1114480167, issued on Apr 8, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Port Alsworth, AK. The record was last updated on Aug 31, 2023.