SOUTHCENTRAL FOUNDATION NPI 1376215475

NPI Information

NPI: 1376215475
Provider Name: SOUTHCENTRAL FOUNDATION

Doing Business As: DENTAL- DENTAL ON 36TH

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3606 RHONE CIR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-2000
Get Directions

SOUTHCENTRAL FOUNDATION is a dental clinic center in Anchorage, AK. SOUTHCENTRAL FOUNDATION NPI is 1376215475. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dental- Dental On 36th.

The provider's business location address is:

3606 RHONE CIR
ANCHORAGE, AK
ZIP 99508-053
Phone: (907) 729-2000

The provider's authorized official is Ronald Lee Olson .
The authorized official title is Executive Vice President Finance and has the following contact phone number (907) 729-4939.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 9/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist				No
2	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1725225	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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