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NONDALTON DENTAL CLINIC
NPI 1013464916
Dentist - General Practice in Nondalton, AK

Active since September 08, 2016
69 MAIN STREET, NONDALTON, AK 99640(907) 294-2238(907) 294-2240 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nondalton Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NONDALTON DENTAL CLINIC (NPI 1013464916) is a healthcare organization registered as a general practice in Nondalton, Alaska and active in the NPI registry since September 2016. The organization lists Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1013464916
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address69 MAIN STREETNondalton, AK 99640
Mailing AddressPo Box 35151Seattle, WA 98124-5151
Phone(907) 294-2238
Fax(907) 294-2240
Organization SubpartYes
Authorized OfficialLee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateSeptember 8, 2016
Last NPPES UpdateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1013464916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AK · 20467
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.
69 MAIN STREET, Nondalton, AK 99640
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Other Names 2

Doing Business AsNondalton Dental Clinic
Doing Business AsDental- Nondalton Dental Clinic

Other Identifiers 1

Medicaid1654445AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARINA A JEFFRIES CHA III
Community Health Worker
69 MAIN STREET
NONDALTON, AK 99640
Lake And Peninsula Borough (907) 729-6709
SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
69 MAIN STREET
NONDALTON, AK 99640
Lake And Peninsula Borough (907) 294-2238
GLORIA M TREFON
Community Health Worker
69 MAIN STREET
NONDALTON, AK 99640
Lake And Peninsula Borough (907) 294-2238
SOUTHCENTRAL FOUNDATION
Clinic/Center (Community Health)
69 MAIN STREET
NONDALTON, AK 99640
Lake And Peninsula Borough (907) 294-2238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1013464916. It was assigned to this organization in the NPPES registry on September 8, 2016. The provider is doing business as Nondalton Dental Clinic and Dental- Nondalton Dental Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 69 Main Street, Nondalton, AK 99640. The listed phone number is (907) 294-2238.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Southcentral Foundation accept?

Health plans from UnitedHealthcare list Southcentral Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.