OrganizationActive
Southcentral Foundation
NPI 1013464916 · General Practice Dentistry · Nondalton, AK
Southcentral Foundation is a General Practice Dentistry organization in Nondalton, AK (NPI 1013464916).
Provider details
- NPI number
- 1013464916
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Lee Olson, Executive Vice President Finance(907) 729-4939
- License
- 20467 (AK)
Practice location
69 Main Street
Nondalton, AK 99640
Phone: (907) 294-2238
Fax: (907) 294-2240
Street-level locationGet directions
Mailing address
Po Box 35151
Seattle, WA 98124-5151
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.