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

General Practice Dentistry in Port Orange, FL · enumerated 2014 · authorized official Kenneth Staudt, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912321654

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Registry record

Entity type Organization (Type 2)
Legal business name Edward L. Staudt DDS & Kenneth L. Staudt DDS, Mph
Parent organization Edward L. Staudt DDS & Kenneth L. Staudt DDS, Mph
Practice address 944 Bridgewater Dr., Suite 2-B, Port Orange, FL, 32129
Phone (386) 756-8953
Enumeration date Feb 18, 2014
Last updated in NPPES Feb 20, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License DN11886 (FL) Primary
1223G0001X General Practice Dentistry Dental Providers · License DN9915 (FL) Secondary

Authorized official

Name Kenneth Staudt
Title Dentist
Phone (386) 214-7554

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Edward L. Staudt DDS & Kenneth L. Staudt DDS, Mph?
The NPI for Edward L. Staudt DDS & Kenneth L. Staudt DDS, Mph is 1912321654, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Edward L. Staudt DDS & Kenneth L. Staudt DDS, Mph?
NPPES lists Kenneth Staudt (Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-20.