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Southcentral Foundation
General Practice Dentistry in Nikolai, Alaska
NPI 1124575022

Southcentral Foundation is a General Practice Dentistry based in Seattle, AK and is specialized in General Practice. Southcentral Foundation practices in Nikolai, AK. The NPI Number for Southcentral Foundation is 1124575022 and holds a License No. 20467 (Alaska).

The current practice location address for Southcentral Foundation is 9105 Airport Drive, Nikolai, AK and can be reached out via phone at 907-293-2328.

Location: 9105 Airport Drive, Nikolai, AK, 98124-5151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124575022
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
9105 Airport Drive, Nikolai, AK, 98124-5151
Phone Number
907-293-2328
Fax Number
Provider Enumeration Date
09/08/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1654551 05 AK
institution
Provider Business Practice Location Address Details
Address
9105 Airport Drive
City
Nikolai
State
Alaska
Zip
99691
Phone Number
907-293-2328
Fax Number
person
Provider Business Mailing Address Details
Address
9105 Airport Drive
City
Nikolai
State
Alaska
Zip
99691
Phone Number
907-293-2328
Fax Number
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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