Dr. Kenneth Lee Staudt Jr., DDSMPH
Dr. Kenneth Lee Staudt Jr., DDSMPH is a Dentist in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
944 Bridgewater Dr #2BPort Orange, FL 32129
Phone: (386) 756-8953
Fax: (386) 756-9184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN00011886 (FL) |
|---|
Record details
| NPI number | 1225258270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMPH |
| Sole proprietor | No |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
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Dr. Steve D Taborda
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