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Dr. Sara Renee Rauen Dardis, DDS,MS
Pediatric Dentist in Bloomington, Illinois
NPI 1558465583

Sara Renee Rauen Dardis is a Pediatric Dentist based in Bloomington, IL and is specialized in Pediatric Dentistry. Sara Renee Rauen Dardis practices in Bloomington, IL and has the professional credentials of DDS,MS. The NPI Number for Sara Renee Rauen Dardis is 1558465583 and holds a License No. 019025801 (Illinois).

The current practice location address for Sara Renee Rauen Dardis is 211 S Prospect Rd, Bloomington, IL and can be reached out via phone at 309-663-7339 and via fax at 309-663-7173. You can also correspond with Sara Renee Rauen Dardis through the mailing address at 1112 TRINITY LN, BLOOMINGTON, IL - 61704-8109 (mailing address contact number: 309-663-7339).

Location: 211 S Prospect Rd, Bloomington, IL, 61704-8109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558465583
Provider Name
Sara Renee Rauen Dardis
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Female
Address
211 S Prospect Rd, Bloomington, IL, 61704-8109
Phone Number
309-663-7339
Fax Number
309-663-7173
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000029040 01 BLUECROSSBLUESHIELD FEDERAL
institution
Provider Business Practice Location Address Details
Address
211 S Prospect Rd
City
Bloomington
State
Illinois
Zip
61704-4910
Phone Number
309-663-7339
Fax Number
309-663-7173
person
Provider Business Mailing Address Details
Address
211 S Prospect Rd
City
Bloomington
State
Illinois
Zip
61704-4910
Phone Number
309-663-7339
Fax Number
309-663-7173
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
021002032 (Illinois)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019025801 (Illinois)
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.
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