DENTAL- EKLUTNA DENTAL CLINIC
NPI 1487121331
Clinic/Center - Dental in Chugiak, AK
About Dental- Eklutna Dental Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENTAL- EKLUTNA DENTAL CLINIC (NPI 1487121331) is a healthcare organization registered as a dental in Chugiak, Alaska and active in the NPI registry since October 2018. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
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.
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 1487121331. It was assigned to this organization in the NPPES registry on October 30, 2018. The provider is doing business as Dental- Eklutna Dental Clinic.
Where is Southcentral Foundation located?
Southcentral Foundation is located at 26341 Eklutna Village Rd, Chugiak, AK 99567. The listed phone number is (907) 688-6031.
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 October 10, 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.
# Dental- Eklutna Dental Clinic · NPI 1487121331
Dental organization in Chugiak, Alaska. Organization record, active in the CMS NPPES registry since October 30, 2018.
## Identity
- **NPI:** 1487121331 (Entity type: Organization)
- **Enumerated:** October 30, 2018
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Legal business name:** Southcentral Foundation
- **Organization subpart:** Yes (part of Southcentral Foundation)
- **Authorized official:** Ronald Olson, EXECUTIVE VICE PRESIDENT FINANCE
## Practice location
- **Address:** 26341 EKLUTNA VILLAGE RD, Chugiak, AK 99567-5148
- **Phone:** (907) 688-6031
## Record status
- **NPPES last updated:** October 10, 2023
- **Other identifiers:** Medicaid 1690189 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1487121331) · Data from the CMS NPPES public registry.