OrganizationActive
Southcentral Foundation
NPI 1487121331 · Dental Clinic/Center · Chugiak, AK
Provider details
- NPI number
- 1487121331
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Ronald Olson, Executive Vice President Finance(907) 729-4939
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
26341 Eklutna Village Rd
Chugiak, AK 99567-5148
Phone: (907) 688-6031
Street-level locationGet directions
Mailing address
Po Box 35151
Seattle, WA 98124-5151
Other names (DBA / former)
- Doing business as
- Dental- Eklutna Dental Clinic
Registry dates
- Enumerated
- 2018-10-30
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.