Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southcentral Foundation

Organization General Practice Dentistry · NPI 1043767940

Southcentral Foundation provides General Practice Dentistry in Sutton, Alaska. Licensed in Alaska. Registered with an NPI since 2016.

Licensed in
AK
In the registry since
2016
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Practice location Address checks out

11495 N Callison St
Sutton, AK 99674
Phone: (907) 631-7665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20467 (AK)

Record details

NPI number1043767940
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthcentral Foundation
Authorized official Ronald Olson — Executive Vice President Finance · (907) 729-4939
Other names Dental- Lifehouse Dental Clinic; Lifehouse Dental Clinic; Lifehouse Dental Clinic
NPI enumeratedSeptember 8, 2016
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing addressPo Box 35151, Seattle, WA 98124-5151