DR. TODD TRABOR PUCKETT (D.M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1689649931

DR. TODD TRABOR PUCKETT (D.M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials D.M.D.. They hold a License No. 2901017095 (MI). The NPI Number for DR. TODD TRABOR PUCKETT (D.M.D.) is 1689649931

Main info

Male
Sole Proprietor
Name
DR. TODD TRABOR PUCKETT (D.M.D.)
NPI
1689649931
Phone
(904) 743-5604
Address
943 CESERY BLVD
Enumeration Date
21 February 2006
Last Update Date
6 April 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. TODD TRABOR PUCKETT (D.M.D.)

  • 943, Cesery Boulevard, Arlington, Jacksonville, Duval County, Florida, 32211, United States

    BUILDING # A

    JACKSONVILLE, FL 322115635

    Phone: (904) 743-5604

    Fax: (904) 744-1490

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: Benco Dental Supply Co. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Benco Dental Supply Co.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-07

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32211)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is DR. TODD TRABOR PUCKETT (D.M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. TODD TRABOR PUCKETT (D.M.D.) with NPI 1689649931.
Does CMS list DR. TODD TRABOR PUCKETT (D.M.D.) as active?
Yes — DR. TODD TRABOR PUCKETT (D.M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. TODD TRABOR PUCKETT (D.M.D.)?
For research purposes, treat DR. TODD TRABOR PUCKETT (D.M.D.) as Oral and Maxillofacial Surgery (Dentist) in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. TODD TRABOR PUCKETT (D.M.D.) list a practice location?
Patients near Jacksonville, Florida may find DR. TODD TRABOR PUCKETT (D.M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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