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Kenneth Staudt, DDS MPH
NPI 1225258270 · on the registry since 2007
Practice
- Address
- 944 Bridgewater Dr
#2b
Port Orange, FL 32129 - Phone
- (386) 756-8953
- Fax
- (386) 756-9184
- Organisation at this address
- Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida