OrganizationActive
Ketchikan Indian Corporation
NPI 1396153649 · Dental Clinic/Center · Ketchikan, AK
Provider details
- NPI number
- 1396153649
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steve Hudson, Health Administrator(907) 228-9253
- License
- 378 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone: (907) 228-9200
Fax: (800) 887-8796
Street-level locationGet directions
Mailing address
2960 Tongass Ave
Ketchikan, AK 99901-5742
Other names (DBA / former)
- Doing business as
- Kic Tribal Health Clinic
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2014-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.