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DENTAL- NILAVENA DENTAL CLINIC
NPI 1750961918
Clinic/Center - Dental in Iliamna, AK

Active since April 12, 2021
101 AIRPORT ROAD, ILIAMNA, AK 99606(907) 571-1818 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental- Nilavena Dental Clinic NPPES

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

DENTAL- NILAVENA DENTAL CLINIC (NPI 1750961918) is a healthcare organization registered as a dental in Iliamna, Alaska and active in the NPI registry since April 2021. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1750961918
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address101 AIRPORT ROADIliamna, AK 99606
Mailing AddressPo Box 35151Seattle, WA 98124-5151
Phone(907) 571-1818
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateApril 12, 2021
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1750961918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDental TherapistTaxonomy 125J00000X
101 AIRPORT ROAD, Iliamna, AK 99606
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Other Names 1

Doing Business AsDental- Nilavena Dental Clinic

Other Identifiers 1

Medicaid1654555AK

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 5

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

SOUTHCENTRAL FOUNDATION
Dentist (General Practice)
101 AIRPORT ROAD
ILIAMNA, AK 99606
Lake And Peninsula Borough (907) 571-1818
JACQUELINE A JENSEN
Counselor
101 AIRPORT ROAD
ILIAMNA, AK 99606
Lake And Peninsula Borough (907) 571-1818
SOUTHCENTRAL FOUNDATION
Clinic/Center (Multi-Specialty)
101 AIRPORT ROAD
ILIAMNA, AK 99606
Lake And Peninsula Borough (907) 571-1818
ANNE ELIZABETH DAILEY PA
Physician Assistant
101 AIRPORT ROAD
ILIAMNA, AK 99606
Lake And Peninsula Borough (907) 729-8624
SUZANNE MARGARET MILETTE PA-C
Physician Assistant
101 AIRPORT ROAD
ILIAMNA, AK 99606
Lake And Peninsula Borough (907) 729-8624

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 1750961918. It was assigned to this organization in the NPPES registry on April 12, 2021. The provider is doing business as Dental- Nilavena Dental Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 101 Airport Road, Iliamna, AK 99606. The listed phone number is (907) 571-1818.

What is Southcentral Foundation's specialty?

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

What insurance does Southcentral Foundation accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southcentral Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on September 15, 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.