SOUTHCENTRAL FOUNDATION
NPI 1467124560
Clinic/Center - Dental in Anchorage, AK

Q: What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1467124560. It was assigned to this organization in the NPPES registry on September 28, 2021. The provider is doing business as Dental- Ambassador Drive Dental Clinic.

Q: What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since September 28, 2021

4115 AMBASSADOR DR STE H210, ANCHORAGE, AK 99508(907) 729-2000 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 1, 2026, Sep 28, 2021 (2 updates tracked since 2021).

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About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1467124560), doing business as Dental- Ambassador Drive Dental Clinic, is a healthcare organization registered as a dental in Anchorage, Alaska and active in the NPI registry since September 2021. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1467124560

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSOUTHCENTRAL FOUNDATION

Location Address4115 AMBASSADOR DR STE H210Anchorage, AK 99508-5928

Mailing AddressPo Box 35151Seattle, WA 98124-5151

Phone(907) 729-2000

Organization SubpartYes

Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939

Enumeration DateSeptember 28, 2021

Last NPPES UpdateApril 1, 20262 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1467124560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

Also ListedDentistTaxonomy 122300000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

4115 AMBASSADOR DR STE H210, Anchorage, AK 99508

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Other Names 1

Doing Business AsDental- Ambassador Drive Dental Clinic

Other Identifiers 1

Medicaid1725227AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1467124560. It was assigned to this organization in the NPPES registry on September 28, 2021. The provider is doing business as Dental- Ambassador Drive Dental Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4115 Ambassador Dr Ste H210, Anchorage, AK 99508. The listed phone number is (907) 729-2000.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.