DR. Todd Trabor Puckett, D.M.D. is an oral and maxillofacial surgery dentist in Jacksonville, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Todd Trabor Puckett, D.M.D. NPI is 1689649931. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
943 CESERY BLVD
BUILDING # A
JACKSONVILLE, FL
ZIP 32211-635
Phone: (904) 743-5604
Fax: (904) 744-1490
The NPI 1689649931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 2/21/2006 and was last updated on 4/6/2015.