DR. KERI LYNN SUNDBERG DDS NPI 1568536845

NPI Information

  • NPI: 1568536845
  • Provider Name: DR. KERI LYNN SUNDBERG, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: WEST SIDE FAMILY DENTISTRY, LTD.
    709 PLAZA DRIVE
    MENDOTA, IL
    ZIP 61342
  • Phone: (815) 539-7004

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NPI Details

DR. Keri Lynn Sundberg, DDS is a general practice dentist in Mendota, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Keri Lynn Sundberg, DDS NPI is 1568536845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

WEST SIDE FAMILY DENTISTRY, LTD.
709 PLAZA DRIVE
MENDOTA, IL
ZIP 61342
Phone: (815) 539-7004
Fax: (815) 539-7060

The NPI 1568536845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/20/2006 and was last updated on 10/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019025531ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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