# DR. SARA RENEE RAUEN DARDIS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558465583
- **Gender:** F
- **Credential:** DDS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019025801 | IL | — |
| 1223P0221X | Pediatric Dentistry | 021002032 | IL | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 02/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000029040 | BLUECROSSBLUESHIELD FEDERAL | — |