NPI 1013464916

Southcentral Foundation

Organisation General Practice Dentistry Nondalton, AK

Practice location

Address: 69 Main Street, Nondalton, AK 99640
Phone: (907) 294-2238
Fax: (907) 294-2240
Mailing address: PO Box 35151, Seattle, WA 98124-5151

Authorised official

Name: Lee Olson
Title: Executive Vice President Finance
Phone: (907) 729-4939

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 20467 (AK)

Other Dentist providers in Alaska →

Registry record

NPI: 1013464916
Entity type: Organization
NPI issued: 8 Sep 2016
Record last updated: 31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.