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DR. SARA RENEE RAUEN DARDIS DDS, MS
NPI 1558465583
Dentist - Pediatric Dentistry in Bloomington, IL

Active since September 11, 2006
211 S PROSPECT RD, BLOOMINGTON, IL 61704(309) 663-7339(309) 663-7173 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Sara Renee Rauen Dardis Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARA RENEE RAUEN DARDIS DDS, MS (NPI 1558465583) is an individual pediatric dentistry provider in Bloomington, Illinois, licensed in Illinois (021002032) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1558465583
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SARA RENEE RAUEN DARDISCredential: DDS, MS
Location Address211 S PROSPECT RDBloomington, IL 61704-4910
Mailing Address1112 Trinity LnBloomington, IL 61704-8109 · (309) 663-7339 · Fax (309) 663-7173
Phone(309) 663-7339
Fax(309) 663-7173
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
✔ NPI 1558465583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021002032
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019025801 (IL)
211 S PROSPECT RD, Bloomington, IL 61704
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Other Identifiers 1

Other0000029040Bluecrossblueshield Federal

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS DOUGLAS HALL D.M.D.
Dentist (Pediatric Dentistry)
211 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-7339
PEDIATRIC DENTAL ASSOCIATES OF MCLEAN COUNTY, INC
Clinic/Center (Dental)
211 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-7339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Rauen Dardis's NPI number?

The NPI number for Sara Rauen Dardis is 1558465583. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Sara Rauen Dardis located?

Sara Rauen Dardis practices at 211 S Prospect Rd, Bloomington, IL 61704. The listed phone number is (309) 663-7339.

What is Sara Rauen Dardis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Sara Rauen Dardis was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.