Staudt, Kenneth Lee
Staudt, Kenneth Lee is an individual health care provider with primary practice located at 944 Bridgewater Dr #2B, Port Orange FL 32129. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Staudt, Kenneth Lee can be contacted via phone (386) 756-8953.Contact Information
Primary practice address
944 Bridgewater Dr #2B
Port Orange FL 32129
Phone: (386) 756-8953
Fax: (386) 756-9184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN00011886 | Florida |
Profile Details
| NPI number | 1225258270 |
|---|---|
| LBN Legal business name | Staudt, Kenneth Lee |
| Credentials | DDS MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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