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

DENTAL- VILLAGE DENTAL CLINIC
NPI 1669057279
Dentist - General Practice in Anchorage, AK

Active since March 15, 2021
4341 TUDOR CENTRE DR, ANCHORAGE, AK 99508(907) 729-2000 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental- Village Dental Clinic NPPES

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

DENTAL- VILLAGE DENTAL CLINIC (NPI 1669057279) is a healthcare organization registered as a general practice in Anchorage, 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

NPI1669057279
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4341 TUDOR CENTRE DRAnchorage, AK 99508-5904
Mailing AddressPo Box 35151Seattle, WA 98124-5151
Phone(907) 729-2000
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateMarch 15, 2021
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1669057279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4341 TUDOR CENTRE DR, Anchorage, AK 99508
Open in Google Maps ↗

Other Names 1

Doing Business AsDental- Village Dental Clinic

Other Identifiers 1

Medicaid1636631AK

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 20

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

HOLLEY BARNEDT RN
Registered Nurse
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
DR. CHRISTOPHER ALLEN SCOTT DMD, MD
Dentist (Oral and Maxillofacial Surgery)
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2000
DR. LUIS-FELIPE C ZAVALA DMD
Dentist
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2000
CLAUDIA ANN PHILLIPS M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
DR. INAAM A PEDALINO DDS
Dentist (General Practice)
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2000
SOUTHCENTRAL FOUNDATION
Clinic/Center (Multi-Specialty)
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
SOUTHCENTRAL FOUNDATION OPT
General Acute Care Hospital
4341 TUDOR CENTRE DR, ATTN SHERRY REEDY
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-3971
ALAN VAZQUEZ DDS
Dentist
4341 TUDOR CENTRE DR
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2000

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 1669057279. It was assigned to this organization in the NPPES registry on March 15, 2021. The provider is doing business as Dental- Village Dental Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4341 Tudor Centre Dr, 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 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 19, 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.