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

LBN: Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph
Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph is an health care organization with primary practice located at 944 Bridgewater Dr. Suite 2-B, Port Orange FL 32129. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph can be contacted via phone (386) 756-8953, or through Staudt, Kenneth Lee via phone (386) 214-7554.

Contact Information

Primary practice address
944 Bridgewater Dr. Suite 2-B Port Orange FL 32129
Phone: (386) 756-8953
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Staudt, Kenneth Lee DDS, MPH
Phone: (386) 214-7554

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN11886 Florida
Dental Providers / General Practice 1223G0001X DN9915 Florida

Profile Details

NPI number 1912321654
LBN Legal business name Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph
DBA Doing business as
Authorized official Staudt, Kenneth Lee DDS, MPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 18th, 2014
Last updated Feb 20th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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