Southcentral Foundation is a renowned Dental office in Port Alsworth, Alaska. This organization is also known as sub part of Southcentral Foundation. It is located at 1 Flight Line Rd, Port Alsworth, AK and its contact number is 907-781-2256. The authorized person for Southcentral Foundation is Ronald Lee Olson
who is Executive Vice President Finance of the place and their contact number is 907-729-4939.
Southcentral Foundation Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Southcentral Foundation Office 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:
Dentistry
Address:
1 Flight Line Rd, Port Alsworth, Alaska, 99653-9801
Phone:
907-781-2256
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office 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 Office are as mentioned below.
NPI Number:
1114480167
Parent Organization:
Southcentral Foundation
NPI Enumeration Date:
08 Apr, 2019
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
Dental
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1695503
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:
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Patients can reach Southcentral Foundation at 1 Flight Line Rd, Port Alsworth, Alaska or can call to book an appointment on 907-781-2256. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.