Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Edward L. Staudt DDS & Kenneth L. Staudt DDS, MPH

Organization General Practice Dentistry · NPI 1912321654

Edward L. Staudt DDS & Kenneth L. Staudt DDS, MPH provides General Practice Dentistry in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

944 Bridgewater Dr Ste 2-B
Port Orange, FL 32129 Not confirmed with CMS for 12 years — call before visiting
Phone: (386) 756-8953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN11886 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN9915 (FL)

Record details

NPI number1912321654
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEdward L. Staudt DDS & Kenneth L. Staudt DDS, MPH
Authorized official Kenneth Staudt — Dentist · (386) 214-7554
NPI enumeratedFebruary 18, 2014
Last updated in NPPESFebruary 20, 2014
Mailing address944 Bridgewater Dr., Suite 2-B, Port Orange, FL 32129

Other providers in Port Orange