SOUTHCENTRAL FOUNDATION is a dental clinic center in Port Alsworth, AK. SOUTHCENTRAL FOUNDATION NPI is 1114480167. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental- Port Alsworth Clinic.
The provider's business location address is:
1 FLIGHT LINE RD
PORT ALSWORTH, AK
ZIP 99653-801
Phone: (907) 781-2256
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 4/8/2019 and was last updated on 8/31/2023.