Organization · Type 2 NPI

Southcentral Foundation

Dental Clinic/Center · Anchorage, AK

NPI number 1376215475 Active

Practice location

3606 Rhone Cir
Anchorage, AK 99508-5053

Call (907) 729-2000 Map

Mailing address

PO Box 35151
Seattle, WA 98124-5151

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

Mint Dental LLCGeneral Practice Dentistry Anchorage, AK NPI 1124321526
Jonathan Christopher McNeil, DMDGeneral Practice Dentistry Anchorage, AK NPI 1477718146
Kathryn Anne Bickler, DMDGeneral Practice Dentistry Anchorage, AK NPI 1396078499

Other dental clinic/center providers in Anchorage

See all in Anchorage →

NPI record

NPI: 1376215475
Entity type: Organization (Type 2)
Issued: Sep 28, 2021
Last updated: Sep 1, 2023
Status: Active
Subpart: Yes of Southcentral Foundation

Other names

<unavail>
Dental- Dental On 36th · doing business as

Authorized official

Ronald Lee Olson
Executive Vice President Finance
(907) 729-4939

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376215475

Southcentral Foundation's National Provider Identifier is 1376215475, issued on Sep 28, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Anchorage, AK. The record was last updated on Sep 1, 2023.