OrganizationActive
Southcentral Foundation
NPI 1922555820 · General Practice Dentistry · St Paul, AK
Southcentral Foundation is a General Practice Dentistry organization in St Paul, AK (NPI 1922555820).
Provider details
- NPI number
- 1922555820
- 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)
Practice location
1000 Polovina Turnpike
St Paul, AK 99660
Phone: (907) 546-8300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35151
Seattle, WA 98124-5151
Registry dates
- Enumerated
- 2016-09-08
- 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.