Southcentral Foundation is a Dental Clinic in Wasilla, Alaska. This organization is also known as sub part of Southcentral Foundation. It is located at 1001 S Knik Goose Bay Rd, Wasilla, AK and its contact number is 907-631-7690. The authorized person for Southcentral Foundation is Ronald Lee Olson
who is Executive Vice President Finance of the clinic and their contact number is 907-729-4939.
Southcentral Foundation Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Southcentral Foundation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southcentral Foundation |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1001 S Knik Goose Bay Rd, Wasilla,
Alaska, 99654-8083 |
| Phone: | 907-631-7690 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ronald Lee Olson |
| Position: | Executive Vice President Finance |
| Contact Number: | 907-729-4939 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southcentral Foundation clinic are as mentioned below.
| NPI Number: | 1124603733 |
| Parent Organization: | Southcentral Foundation |
| NPI Enumeration Date: | 15 Mar, 2021 |
| NPI Last Update On: | 31 Aug, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southcentral Foundation are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1584443 | Medicaid | Alaska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southcentral Foundation
Po Box 35151,
Seattle, Washington |
| Zip: | 98124-5151 |
| Phone Number: | -- |
Patients can reach Southcentral Foundation at
1001 S Knik Goose Bay Rd, Wasilla, Alaska or can
call to book an appointment on 907-631-7690.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.