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Provider record

Todd Trabor Puckett D.M.D.

The public CMS NPPES listing for Todd Trabor Puckett D.M.D. places this Oral And Maxillofacial Surgery (dentist) record in Jacksonville, FL. The practice address is shown as 943 Cesery Blvd, Jacksonville, FL. NPPES also reports a phone number. Verify details before visiting or calling.

NPI1689649931
Entity typeIndividual
Reported phone(904) 743-5604
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1689649931
Entity type
Individual
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
943 Cesery Blvd, Building # A
Jacksonville, FL 32211-5635
Phone
(904) 743-5604

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Nearby dentists

Approximate straight-line distance from this practice location.

Eugene Katibah DDSGeneral Practice DentistryJacksonville, 32211-5635Less than 0.1 mi away(904) 744-6244CMS NPPESH. Raymond Klein, D.D.S., P.A.Pediatric DentistryJacksonville, 32211-5635Less than 0.1 mi away(904) 743-2000CMS NPPESJerome Philip Rothstein D.D.S.Oral and Maxillofacial Surgery (Dentist)Jacksonville, 32211-5635Less than 0.1 mi away(904) 743-5604CMS NPPESRichard W Blake DDS PAPediatric DentistryJacksonville, 32211-5655Less than 0.1 mi away(904) 743-2000CMS NPPESThomas L.ewis Klechak DDSOrthodontics and Dentofacial Orthopedics DentistryJacksonville, 32211-5635Less than 0.1 mi away(904) 743-1100CMS NPPES

Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
1223S0112X
Specialty
Oral and Maxillofacial Surgery (Dentist)
Source
CMS NPPES
Last updated
May 26, 2026