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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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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

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