| Cypress Dental of Ormond Beach | |
|
275 Williamson Blvd Ste 100 Ormond Beach FL 32174-5997 | |
| (386) 756-8953 | |
| Not Available |
| Full Name | Cypress Dental of Ormond Beach |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 275 Williamson Blvd Ste 100, Ormond Beach, Florida |
| Authorized Official Name and Position | Edward Lee Staudt (MANAGER) |
| Authorized Official Contact | 3867568953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Dental of Ormond Beach 944 Bridgewater Dr Ste 2b Port Orange FL 32129-6110 Ph: (386) 756-8953 | Cypress Dental of Ormond Beach 275 Williamson Blvd Ste 100 Ormond Beach FL 32174-5997 Ph: (386) 756-8953 |
| NPI Number | 1174493969 |
|---|---|
| Provider Enumeration Date | 11/07/2025 |
| Last Update Date | 11/07/2025 |
| Certification Date | 11/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174493969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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