Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

West Side Family Dentistry, Ltd

Organization General Practice Dentistry · NPI 1245617570

West Side Family Dentistry, Ltd provides General Practice Dentistry in Mendota, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

709 Plaza Dr
Mendota, IL 61342-2457
Phone: (815) 539-7004
Fax: (815) 539-7060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019-025531 (IL)

Record details

NPI number1245617570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keri Sundberg — Dentist/President · (815) 539-7004
NPI enumeratedMay 6, 2015
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address709 Plaza Dr, Mendota, IL 61342-2457

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