Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Todd Trabor Puckett, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1689649931

Dr. Todd Trabor Puckett, DMD is an Oral and Maxillofacial Surgery (Dentist) in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida and Michigan.

Licensed in
FL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

943 Cesery Blvd Bldg # A
Jacksonville, FL 32211-5635
Phone: (904) 743-5604
Fax: (904) 744-1490
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Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN18217 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2901017095 (MI)

Record details

NPI number1689649931
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 21, 2006
Last updated in NPPESApril 6, 2015
Mailing address943 Cesery Blvd, Building # A, Jacksonville, FL 32211-5635

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