Active NPI
Staudt Dental, LLC
- Dental Clinic/Center
- Ormond Beach, FL
National Provider Identifier
1174493969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Port Orange, FL
- NPI 1760609804
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.