Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southcentral Foundation

Organization Dental Clinic/Center · NPI 1114480167

Southcentral Foundation is a Dental Clinic/Center in Port Alsworth, Alaska. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1 Flight Line Rd
Port Alsworth, AK 99653-9801
Phone: (907) 781-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1114480167
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthcentral Foundation
Authorized official Ronald Olson — Executive Vice President Finance · (907) 729-4939
Other names Dental- Port Alsworth Clinic
NPI enumeratedApril 8, 2019
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing addressPo Box 35151, Seattle, WA 98124-5151