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

DENTAL- CHUGACH SQUARE DENTAL CLINIC
NPI 1972050870
Dentist - General Practice in Anchorage, AK

Active since September 08, 2016
6901 E TUDOR RD, ANCHORAGE, AK 99507(907) 729-2000 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental- Chugach Square Dental Clinic NPPES

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

DENTAL- CHUGACH SQUARE DENTAL CLINIC (NPI 1972050870) is a healthcare organization registered as a general practice in Anchorage, 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

NPI1972050870
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address6901 E TUDOR RDAnchorage, AK 99507-1254
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 8, 2016
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1972050870 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 · 20467
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.
6901 E TUDOR RD, Anchorage, AK 99507
Open in Google Maps ↗

Other Names 1

Doing Business AsDental- Chugach Square Dental Clinic

Other Identifiers 1

Medicaid1654623AK

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 5

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

RICHARD GREGORIN DDS
Dentist (General Practice)
6901 E TUDOR RD, SUITE 9
ANCHORAGE, AK 99507
Anchorage Municipality (907) 333-5522
DR. RICHARD CHARLES GREGORIN II DDS
Dentist
6901 E TUDOR RD, SUITE #9
ANCHORAGE, AK 99507
Anchorage Municipality (907) 333-5522
SOUTHCENTRAL FOUNDATION
Clinic/Center (Hearing and Speech)
6901 E TUDOR RD
ANCHORAGE, AK 99507
Anchorage Municipality (907) 729-4955
R C GREGORIN II DDS LLC
Clinic/Center (Dental)
6901 E TUDOR RD, SUITE #9
ANCHORAGE, AK 99507
Anchorage Municipality (907) 333-5522
SOUTHCENTRAL FOUNDATION
Clinic/Center (Hearing and Speech)
6901 E TUDOR RD
ANCHORAGE, AK 99507
Anchorage Municipality (907) 729-6100

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 1972050870. It was assigned to this organization in the NPPES registry on September 8, 2016. The provider is doing business as Dental- Chugach Square Dental Clinic.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 6901 E Tudor Rd, Anchorage, AK 99507. 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.