institution
Southcentral Foundation
Oral and Maxillofacial Surgery (Dentist) in Anchorage, Alaska
NPI 1699393132

Southcentral Foundation is a Oral and Maxillofacial Surgery (Dentist) based in Seattle, AK and is specialized in Oral and Maxillofacial Surgery. Southcentral Foundation practices in Anchorage, AK. The NPI Number for Southcentral Foundation is 1699393132 and holds a License No. (Alaska).

The current practice location address for Southcentral Foundation is 4315 Diplomacy Dr, Anchorage, AK and can be reached out via phone at 907-729-2000.

Location: 4315 Diplomacy Dr, Anchorage, AK, 98124-5151
institution
Provider Profile Details
NPI Number
1699393132
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
4315 Diplomacy Dr, Anchorage, AK, 98124-5151
Phone Number
907-729-2000
Fax Number
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1616111 05 AK
institution
Provider Business Practice Location Address Details
Address
4315 Diplomacy Dr
City
State
Zip
99508-5926
Phone Number
907-729-2000
Fax Number
person
Provider Business Mailing Address Details
Address
4315 Diplomacy Dr
City
State
Zip
99508-5926
Phone Number
907-729-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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