Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SARA RENEE RAUEN DARDIS, DDS, MS
ActiveDR. SARA RENEE RAUEN DARDIS, DDS, MS is a Pediatric Dentistry healthcare provider located in BLOOMINGTON, Illinois. NPI 1558465583 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1558465583
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2006 (19.940322000689 yrs)
- Last Updated
- Feb 12, 2021
- Licenses
-
019025801 (IL)021002032 (IL)
Practice Information
- Address
-
211 S PROSPECT RDBLOOMINGTON, IL, 617044910Browse IL providers · Browse ZIP 61704
- Phone
- 3096637339
- Fax
- 3096637173
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS DOUGLAS HALL | D.M.D. | 1891886305 |
| DR. ANDY MANCINI | DMD, MBA | 1487813473 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.