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

Southcentral Foundation

Organization Dentist · NPI 1467124560

Southcentral Foundation is a Dentist in Anchorage, Alaska. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4

Practice location Address checks out

4115 Ambassador Dr Ste H210
Anchorage, AK 99508-5928
Phone: (907) 729-2000
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Dentist Taxonomy 122300000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1467124560
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthcentral Foundation
Authorized official Ronald Olson — Executive Vice President Finance · (907) 729-4939
Other names Dental- Ambassador Drive Dental Clinic
NPI enumeratedSeptember 28, 2021
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing addressPo Box 35151, Seattle, WA 98124-5151

Other providers in Anchorage