Organization · Type 2 NPI

Southcentral Foundation

General Practice Dentistry · Wasilla, AK

NPI number 1124603733 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Call (907) 631-7690 Map

Mailing address

PO Box 35151
Seattle, WA 98124-5151

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Medical Specialty Clinic/Center 261QM2500XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1124603733

Southcentral Foundation's National Provider Identifier is 1124603733, issued on Mar 15, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wasilla, AK. The record was last updated on Jun 5, 2026.