Dental- Children'S Dental Clinic

LBN: Southcentral Foundation
Dental- Children'S Dental Clinic is an health care organization with primary practice located at 4441 Diplomacy Dr , Anchorage AK 99508-5910. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Southcentral Foundation can be contacted via phone (907) 729-2000, or through Olson, Ronald Lee via phone (907) 729-4939.

Contact Information

Primary practice address
4441 Diplomacy Dr Anchorage AK 99508-5910
Phone: (907) 729-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Ronald Lee
Phone: (907) 729-4939

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1225618481
LBN Legal business name Southcentral Foundation
DBA Doing business as Dental- Children'S Dental Clinic
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 12th, 2021
Last updated Aug 31st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225618481 NPPES
Alaska MEDICAID 1685411

Popular Providers