The Indian Health Service (IHS) is the U.S. Public Health Service (USPHS) agency responsible for addressing the health needs of over 1.9 million American Indians and Alaska Natives (AI/AN) in over 230 hospitals and clinics in 35 states. More than 1,800 dentists, dental hygienists and dental assistants work in programs that strive to prevent as much dental disease as possible through organized prevention programs and limit existing disease through active clinical programs.