WEST SIDE LLC NPI 1003928789

NPI Information

  • NPI: 1003928789
  • Provider Name: WEST SIDE LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: KLONDIKE DENTAL CARE
  • Address: 3412 KLONDIKE RD
    WEST LAFAYETTE BRA, IN
    ZIP 47906
  • Phone: (765) 463-6726

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NPI Details

WEST SIDE LLC is a general practice dentist in West Lafayette Bra, IN. 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. WEST SIDE LLC NPI is 1003928789. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Klondike Dental Care.

The provider's business location address is:

3412 KLONDIKE RD
WEST LAFAYETTE BRA, IN
ZIP 47906-218
Phone: (765) 463-6726

The provider's authorized official is John Piperis James .
The authorized official title is President and has the following contact phone number (765) 463-6726.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

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 Practice12009311INDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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