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Southcentral Foundation — NPI 1699393132, Anchorage, AK | NPI Central

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NPI 1699393132

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Southcentral Foundation

NPI 1699393132 · Oral and Maxillofacial Surgery (Dentist) · Anchorage, AK

Provider details

NPI number: 1699393132
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Parent organization: Southcentral Foundation
Organization subpart: Yes
Authorized official: Ronald Olson, Executive Vice President Finance(907) 729-4939

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers
Pediatric Dentistry1223P0221X
Dental Providers

Practice location

4315 Diplomacy Dr

Anchorage, AK 99508-5926

Phone: (907) 729-2000

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

Po Box 35151

Seattle, WA 98124-5151

Other names (DBA / former)

Doing business as: Dental- Anmc Or Clinic

Registry dates

Enumerated: 2020-07-10
Last updated: 2023-09-14
Certified: 2023-09-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.