OrganizationActive
Southcentral Foundation
NPI 1043767940 · General Practice Dentistry · Sutton, AK
Southcentral Foundation is a General Practice Dentistry organization in Sutton, AK (NPI 1043767940).
Provider details
- NPI number
- 1043767940
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Ronald Olson, Executive Vice President Finance(907) 729-4939
- License
- 20467 (AK)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11495 N. Callison Street
Sutton, AK 99674
Phone: (907) 631-7665
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35151
Seattle, WA 98124-5151
Other names (DBA / former)
- Doing business as
- Dental- Lifehouse Dental Clinic
- Doing business as
- Lifehouse Dental Clinic
- Doing business as
- Lifehouse Dental Clinic
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Frequently asked questions
- What is Southcentral Foundation's NPI number?
- Southcentral Foundation's National Provider Identifier (NPI) is 1043767940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southcentral Foundation?
- Southcentral Foundation is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Southcentral Foundation located?
- Southcentral Foundation's practice location on file with NPPES is 11495 N. Callison Street, Sutton, AK 99674.
- What is Southcentral Foundation's phone number?
- The practice phone number listed in the NPPES registry for Southcentral Foundation is (907) 631-7665.
- Who is the authorized official for Southcentral Foundation?
- The authorized official listed on Southcentral Foundation's NPPES record is Ronald Olson, Executive Vice President Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southcentral Foundation's NPI active?
- Yes — Southcentral Foundation's NPI (1043767940) is active in the NPPES registry as of the last update on 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.