Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH LEE STAUDT JR., DDS MPH

Active

DR. KENNETH LEE STAUDT JR., DDS MPH is a Dentist healthcare provider located in PORT ORANGE, Florida. NPI 1225258270 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORT ORANGE, FL

Registration Details

NPI Number: 1225258270
Provider Type: Individual
Gender: Male
NPI Issued: May 1, 2007 (19.248401169711 yrs)
Last Updated: Jul 8, 2007
License: DN00011886 (FL)

Practice Information

Address: 944 BRIDGEWATER DR

#2B

PORT ORANGE, FL, 32129
Browse FL providers · Browse ZIP 32129
Phone: 3867568953
Fax: 3867569184
Primary Specialty: Dentist
122300000X

Other Dentist Providers in PORT ORANGE, FL

Name	Credential	NPI
DR. PANTEA TAVAKOLI-KHAZRAEE	DDS	1033229091
HARVINDER S CHADDA	B DS	1396812939
DR. JOHN MICHAEL PANCZYSZYN	D.D.S.	1629113543
DR. JOSEPH VALENZI	D.M.D.	1851512420
DR. CHRISTIE JEAN LATULIPPE	D.M.D.	1154542397
DR. NELLY GUIRGIS HADDAD	DMD	1093916819

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.