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DR. TODD TRABOR PUCKETT D.M.D.
NPI 1689649931
Dentist - Oral and Maxillofacial Surgery in Jacksonville, FL

Active since February 21, 2006PECOS Enrolled
943 CESERY BLVD, BUILDING # A, JACKSONVILLE, FL 32211(904) 743-5604(904) 744-1490 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Todd Trabor Puckett D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TODD TRABOR PUCKETT D.M.D. (NPI 1689649931) is an individual oral and maxillofacial surgery provider in Jacksonville, Florida, licensed in Florida (DN18217) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689649931
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TODD TRABOR PUCKETTCredential: D.M.D.
Location Address943 CESERY BLVD, BUILDING # AJacksonville, FL 32211-5635
Mailing Address943 Cesery Blvd, Building # AJacksonville, FL 32211-5635 · (904) 743-5604 · Fax (904) 744-1490
Phone(904) 743-5604
Fax(904) 744-1490
Sole ProprietorYes
Enumeration DateFebruary 21, 2006
Last NPPES UpdateApril 6, 2015
✔ NPI 1689649931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in FL · DN18217✔ Licensed in MI · 2901017095
Definition

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.

943 CESERY BLVD, Jacksonville, FL 32211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Todd Trabor Puckett D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORAH RENEE PINTO PH.D.
Psychologist
943 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 745-3111
DR. MARCIE TURNER PH.D.
Psychologist (Clinical)
943 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 745-3111
KURT SHONKA LMHC
Counselor (Mental Health)
943 CESERY BLVD, SUITE G
JACKSONVILLE, FL 32211
Duval County (904) 421-2119
VALERIE P BRINK LMHC
Counselor (Mental Health)
943 CESERY BLVD, SUITE G
JACKSONVILLE, FL 32211
Duval County (904) 421-2119
DIANA CURRIN LMHC
Counselor (Mental Health)
943 CESERY BLVD, SUITE G
JACKSONVILLE, FL 32211
Duval County (904) 421-2119
RONALD SLOAN LCSW
Social Worker (Clinical)
943 CESERY BLVD, SUITE G
JACKSONVILLE, FL 32211
Duval County (904) 421-2119
DR. THOMAS L.EWIS KLECHAK DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
943 CESERY BLVD, BLDG E
JACKSONVILLE, FL 32211
Duval County (904) 743-1100
DR. JEROME PHILIP ROTHSTEIN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
943 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 743-5604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Puckett's NPI number?

The NPI number for Todd Puckett is 1689649931. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Todd Puckett located?

Todd Puckett practices at 943 Cesery Blvd Building # A, Jacksonville, FL 32211. The listed phone number is (904) 743-5604.

What is Todd Puckett's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Todd Puckett enrolled in Medicare?

Yes. Todd Puckett is registered in the Medicare PECOS enrollment system.

What insurance does Todd Puckett accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Todd Puckett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Todd Puckett was last updated on April 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.