OrganizationActive
Southcentral Foundation
NPI 1861533408 · Dentist · Anchorage, AK
Provider details
- NPI number
- 1861533408
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Ronald Olson, Executive Vice President Finance(907) 729-4939
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4341 Tudor Centre Dr
Anchorage, AK 99508-5904
Phone: (907) 729-2000
Street-level locationGet directions
Mailing address
Po Box 35151
Seattle, WA 98124-5151
Other names (DBA / former)
- Doing business as
- Dental- Anmc Dental Clinic (eaglesoft & Dolphin)
- Doing business as
- Dental- Fireweed Dental Clinic ( Eaglesoft & Dolph
- Doing business as
- Dental- Village Dental Clinic ( Eaglesoft & Dolphi
Additional practice locations (1)
- 4315 Diplomacy DrAnchorage, AK 99508-5926Phone: (907) 729-2000
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.