Organization Active NPI

Staudt Dental, LLC

  • Dental Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1174493969
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STAUDT DENTAL, LLC
Practice address
275 Williamson Blvd Ste 100
Ormond Beach, FL 32174-5997
Phone
(386) 756-8953
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edward Lee Staudt, DDS
Title
Manager
Phone
(386) 756-8953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

275 Williamson Blvd Ste 100
Ormond Beach, FL 32174-5997

Mailing address

944 Bridgewater Dr Ste 2B
Port Orange, FL 32129-6110
Phone (386) 756-8953

Other names 1

  • Cypress Dental of Ormond Beach Doing business as

National Provider Directory

National Provider Directory

Locations

275 Williamson Blvd
Ste 100
Ormond Beach, FL 32174
Phone (386) 756-8953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1174493969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 BRIDGEWATER DR STE 2B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296110",
            "telephone_number": "386-756-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 WILLIAMSON BLVD STE 100",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745997",
            "telephone_number": "386-756-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUDT DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "STAUDT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-756-8953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Dental of Ormond Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.