Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph
Dental Clinic
944 Bridgewater Dr., Suite 2-b, Port Orange
Florida, 32129
386-756-8953 Maps & DirectionsEdward L. Staudt Dds & Kenneth L. Staudt Dds, Mph is a Dental Clinic in Port Orange, Florida. This organization is also known as sub part of Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph. It is located at 944 Bridgewater Dr., Suite 2-b, Port Orange, FL and its contact number is 386-756-8953. The authorized person for Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph is Dr. Kenneth Lee Staudt Jr.
who is Dentist of the clinic and their contact number is 386-214-7554. The primary license number for Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph is DN11886 (General Practice) in Florida.
Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 944 Bridgewater Dr., Suite 2-b, Port Orange,
Florida, 32129 |
| Phone: | 386-756-8953 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kenneth Lee Staudt Jr. |
| Position: | Dentist |
| Contact Number: | 386-214-7554 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph clinic are as mentioned below.
| NPI Number: | 1912321654 |
| Parent Organization: | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph |
| NPI Enumeration Date: | 18 Feb, 2014 |
| NPI Last Update On: | 20 Feb, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DN11886 | Florida | Primary | |
| General Practice | DN9915 | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph
944 Bridgewater Dr., Suite 2-b
Port Orange, Florida |
| Zip: | 32129 |
| Phone Number: | 386-756-8953 |
Patients can reach Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph at
944 Bridgewater Dr., Suite 2-b, Port Orange, Florida or can
call to book an appointment on 386-756-8953.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.