Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

West Side Family Dentistry, Ltd

Organization General Practice Dentistry · NPI 1245617570

West Side Family Dentistry, Ltd is a 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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