Organization
STAUDT DENTAL, LLC
Active
Other names
Cypress Dental of Ormond Beach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD LEE STAUDT DDS (MANAGER)
(386) 756-8953
Entity
Organization
Contact information
Practice address
275 WILLIAMSON BLVD STE 100, ORMOND BEACH, FL 32174-5997
(386) 756-8953
Mailing address
944 BRIDGEWATER DR STE 2B, PORT ORANGE, FL 32129-6110
(386) 756-8953
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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