Dental- Anmc Dental Clinic (Eaglesoft & Dolphin)

LBN: Southcentral Foundation
Dental- Anmc Dental Clinic (Eaglesoft & Dolphin) is an health care organization with primary practice located at 4341 Tudor Centre Dr , Anchorage AK 99508-5904. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as 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
4341 Tudor Centre Dr Anchorage AK 99508-5904
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 / Dentist 122300000X

Profile Details

NPI number 1861533408
LBN Legal business name Southcentral Foundation
DBA Doing business as Dental- Anmc Dental Clinic (Eaglesoft & Dolphin)
Authorized official Olson, Ronald Lee
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 8th, 2007
Last updated Sep 18th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861533408 NPPES
Alaska MEDICAID 1580817
Alaska MEDICAID 1003875
Alaska MEDICAID 1636631

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