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Southcentral Foundation
Dental Clinic/Center in Iliamna, Alaska
NPI 1750961918

Southcentral Foundation is a Dental Clinic/Center based in Seattle, AK and is specialized in Dental. Southcentral Foundation practices in Iliamna, AK. The NPI Number for Southcentral Foundation is 1750961918 and holds a License No. (Alaska).

The current practice location address for Southcentral Foundation is 101 Airport Road, Iliamna, AK and can be reached out via phone at 907-571-1818.

Location: 101 Airport Road, Iliamna, AK, 98124-5151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750961918
Provider Name
Southcentral Foundation
Credential
Provider Entity Type
Organization
Address
101 Airport Road, Iliamna, AK, 98124-5151
Phone Number
907-571-1818
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1654555 05 AK
institution
Provider Business Practice Location Address Details
Address
101 Airport Road
City
Iliamna
State
Alaska
Zip
99606
Phone Number
907-571-1818
Fax Number
person
Provider Business Mailing Address Details
Address
101 Airport Road
City
Iliamna
State
Alaska
Zip
99606
Phone Number
907-571-1818
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
()
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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