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PEDIATRIC DENTAL ASSOCIATES OF MCLEAN COUNTY, INC
NPI 1982878708
Clinic/Center - Dental in Bloomington, IL

Active since April 14, 2008
211 S PROSPECT RD, BLOOMINGTON, IL 61704(309) 663-7339(309) 663-7131 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Associates Of Mclean County, Inc NPPES

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

PEDIATRIC DENTAL ASSOCIATES OF MCLEAN COUNTY, INC (NPI 1982878708) is a healthcare organization registered as a dental in Bloomington, Illinois and active in the NPI registry since April 2008. The organization lists Sara R Rauen Dardis, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1982878708
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC DENTAL ASSOCIATES OF MCLEAN COUNTY, INC
Location Address211 S PROSPECT RDBloomington, IL 61704-4910
Mailing Address211 S Prospect RdBloomington, IL 61704-4910 · (309) 663-7339 · Fax (309) 663-7131
Phone(309) 663-7339
Fax(309) 663-7131
Organization SubpartNo
Authorized OfficialSara R Rauen DardisPediatric Dentist · (309) 663-7339
Enumeration DateApril 14, 2008
✔ NPI 1982878708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
211 S PROSPECT RD, Bloomington, IL 61704
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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. SARA RENEE RAUEN DARDIS DDS, MS
Dentist (Pediatric Dentistry)
211 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-7339
DR. THOMAS DOUGLAS HALL D.M.D.
Dentist (Pediatric Dentistry)
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 Pediatric Dental Associates Of Mclean County, Inc's NPI number?

The NPI number for Pediatric Dental Associates Of Mclean County, Inc is 1982878708. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Pediatric Dental Associates Of Mclean County, Inc located?

Pediatric Dental Associates Of Mclean County, Inc is located at 211 S Prospect Rd, Bloomington, IL 61704. The listed phone number is (309) 663-7339.

What is Pediatric Dental Associates Of Mclean County, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Associates Of Mclean County, Inc was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.