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Southcentral Foundation

General Practice Dentistry in Nikolai, AK · enumerated 2016 · authorized official Ronald Olsen, Executive Vice President Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124575022

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Registry record

Entity type Organization (Type 2)
Legal business name Southcentral Foundation
Other name <Unavail>
Parent organization Southcentral Foundation
Practice address 9105 Airport Drive, Nikolai, AK, 99691
Phone (907) 293-2328
Enumeration date Sep 8, 2016
Last updated in NPPES Sep 1, 2023

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 20467 (AK) Primary

Authorized official

Name Ronald Olsen
Title Executive Vice President Finance
Phone (907) 729-4939

Other identifiers

Identifier Type State Issuer
1654551 Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southcentral Foundation?
Southcentral Foundation is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-01.