DR. KENNETH LEE JR. STAUDT (DDS MPH) – Dentist, NPI 1225258270
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KENNETH LEE JR. STAUDT (DDS MPH)
944 BRIDGEWATER DR
#2B
PORT ORANGE, FL 32129
Phone: (386) 756-8953
Fax: (386) 756-9184
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-23
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32129)
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