West Side Family Dentistry, Ltd
NPI 1245617570 · General Practice Dentistry · Mendota, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
West Side Family Dentistry, Ltd is a General Practice Dentistry organization in Mendota, IL (NPI 1245617570).
Provider details
- NPI number
- 1245617570
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keri Sundberg, Dentist/President(815) 539-7004
- License
- 019-025531 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Frequently asked questions
- What is West Side Family Dentistry, Ltd's NPI number?
- West Side Family Dentistry, Ltd's National Provider Identifier (NPI) is 1245617570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Side Family Dentistry, Ltd?
- West Side Family Dentistry, Ltd is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is West Side Family Dentistry, Ltd located?
- West Side Family Dentistry, Ltd's practice location on file with NPPES is 709 Plaza Dr, Mendota, IL 61342-2457.
- What is West Side Family Dentistry, Ltd's phone number?
- The practice phone number listed in the NPPES registry for West Side Family Dentistry, Ltd is (815) 539-7004.
- Does West Side Family Dentistry, Ltd accept Medicare?
- West Side Family Dentistry, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for West Side Family Dentistry, Ltd?
- The authorized official listed on West Side Family Dentistry, Ltd's NPPES record is Keri Sundberg, Dentist/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Side Family Dentistry, Ltd's NPI active?
- Yes — West Side Family Dentistry, Ltd's NPI (1245617570) is active in the NPPES registry as of the last update on 2022-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.