1. Home
  2. Directory
  3. Alaska
  4. Wasilla
  5. Dentist
  6. NPI Profile

SOUTHCENTRAL FOUNDATION
NPI 1124603733
Dentist - General Practice in Wasilla, AK

Active since March 15, 2021
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 631-7690 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Apr 1, 2026, Aug 31, 2023 and 1 more (4 updates tracked since 2021).

About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1124603733), doing business as Benteh Nuutah Dental Clinic, is a healthcare organization registered as a general practice in Wasilla, Alaska and active in the NPI registry since March 2021. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1124603733
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing AddressPo Box 35151Seattle, WA 98124-5151
Phone(907) 631-7690
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateMarch 15, 2021
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1124603733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654
Open in Google Maps ↗

Other Names 2

Doing Business AsBenteh Nuutah Dental Clinic
Doing Business AsDental- Valley Dental Clinic

Other Identifiers 1

Medicaid1584443AK

Other Providers at the Same Location NPPES 20

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

SOUTHCENTRAL FOUNDATION
Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
DR. ELIZABETH C TURGEON M.D.
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
EMA LUCILLE FIEDLER RDN
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JAMES HALES FNP-C. FNP-BC,
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
JASEN RUSSELL THOMPSON PA-C
Physician Assistant
1001 S KNIK GOOSE BAY RD, PCC WEST
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7851
RAINA PASIEWICZ RD
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7800
SOUTHCENTRAL FOUNDATION
Hearing Aid Equipment
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 729-8624
DR. CALVIN W. GABEL D.C.
Chiropractor
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-7388

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 1124603733. It was assigned to this organization in the NPPES registry on March 15, 2021. The provider is doing business as Benteh Nuutah Dental Clinic and Dental- Valley Dental Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-7690.

What is Southcentral Foundation's specialty?

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

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.