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DENTAL- KOKHANOK DENTAL CLINIC
NPI 1497202394
Dentist - General Practice in Kokhanok, AK

Active since September 08, 2016
1008 MAIN STREET, KOKHANOK, AK 99606(907) 282-2203 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental- Kokhanok Dental Clinic NPPES

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

DENTAL- KOKHANOK DENTAL CLINIC (NPI 1497202394) is a healthcare organization registered as a general practice in Kokhanok, Alaska and active in the NPI registry since September 2016. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1497202394
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address1008 MAIN STREETKokhanok, AK 99606
Mailing AddressPo Box 35151Seattle, WA 98124-5151
Phone(907) 282-2203
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateSeptember 8, 2016
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1497202394 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 · 2
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.
1008 MAIN STREET, Kokhanok, AK 99606
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Other Names 1

Doing Business AsDental- Kokhanok Dental Clinic

Other Identifiers 1

Medicaid1654547AK

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

Other Providers at the Same Location NPPES 2

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

SOUTHCENTRAL FOUNDATION
Clinic/Center (Community Health)
1008 MAIN STREET
KOKHANOK, AK 99606
Lake And Peninsula Borough (907) 282-2203
SOUTHCENTRAL FOUNDATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
1008 MAIN STREET
KOKHANOK, AK 99606
Lake And Peninsula Borough (907) 282-2203

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 1497202394. It was assigned to this organization in the NPPES registry on September 8, 2016. The provider is doing business as Dental- Kokhanok Dental Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 1008 Main Street, Kokhanok, AK 99606. The listed phone number is (907) 282-2203.

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 September 13, 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.