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Southcentral Foundation
General Practice Dentistry in Nondalton, Alaska
NPI 1013464916

Southcentral Foundation is a General Practice Dentistry based in Seattle, AK and is specialized in General Practice. Southcentral Foundation practices in Nondalton, AK. The NPI Number for Southcentral Foundation is 1013464916 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 69 Main Street, Nondalton, AK and can be reached out via phone at 907-294-2238 and via fax at 907-294-2240.

Location: 69 Main Street, Nondalton, AK, 98124-5151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013464916
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
69 Main Street, Nondalton, AK, 98124-5151
Phone Number
907-294-2238
Fax Number
907-294-2240
Provider Enumeration Date
09/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1654445 05 AK
institution
Provider Business Practice Location Address Details
Address
69 Main Street
City
Nondalton
State
Alaska
Zip
99640
Phone Number
907-294-2238
Fax Number
907-294-2240
person
Provider Business Mailing Address Details
Address
69 Main Street
City
Nondalton
State
Alaska
Zip
99640
Phone Number
907-294-2238
Fax Number
907-294-2240
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
20467 (Alaska)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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