Individual provider · Type 1 NPI

Todd Trabor Puckett, DMD

Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL

NPI number 1689649931 Active

Practice location

943 Cesery Blvd, Building # A
Jacksonville, FL 32211-5635

Fax (904) 744-1490

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X2901017095 (MI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN18217 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1689649931

Todd Trabor Puckett, DMD's National Provider Identifier is 1689649931, issued on Feb 21, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 6, 2015.