Organization · Type 2 NPI
Staudt Dental, LLC
Dental Clinic/Center · Ormond Beach, FL
NPI number
1174493969
Active
Practice location
275 Williamson Blvd Ste 100
Ormond Beach, FL 32174-5997
Mailing address
944 Bridgewater Dr Ste 2B
Port Orange, FL 32129-6110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1174493969
Staudt Dental, LLC's National Provider Identifier is 1174493969, issued on Nov 7, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ormond Beach, FL. The record was last updated on Nov 7, 2025.