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

Southcentral Foundation

Organization General Practice Dentistry · NPI 1124603733

Southcentral Foundation is a General Practice Dentistry in Wasilla, Alaska. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1124603733
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthcentral Foundation
Authorized official Ronald Olson — Executive Vice President Finance · (907) 729-4939
Other names Benteh Nuutah Dental Clinic; Dental- Valley Dental Clinic
NPI enumeratedMarch 15, 2021
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing addressPo Box 35151, Seattle, WA 98124-5151

Other providers in Wasilla