# SOUTHCENTRAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SCF Dental OR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609283670
- **Authorized official:** KATHRYN S MILLER CPC, CDC (PATIENT ACCOUNTS MANAGER)
- **Authorized official phone:** (907) 317-6070

## Contact information

- **Practice address:** 4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
- **Practice address phone:** (907) 317-6070
- **Practice address fax:** (907) 729-5178
- **Mailing address:** PO BOX 35151, SEATTLE, WA 98124-5198
- **Mailing address phone:** (907) 317-6070
- **Mailing address fax:** (907) 729-5178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/23/2014