Puckett, Todd Trabor

Puckett, Todd Trabor is an sole proprietor health care provider with primary practice located at 943 Cesery Blvd Building # A, Jacksonville FL 32211-5635. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Puckett, Todd Trabor can be contacted via phone (904) 743-5604.

Contact Information

Primary practice address
943 Cesery Blvd Building # A Jacksonville FL 32211-5635
Phone: (904) 743-5604
Fax: (904) 744-1490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901017095 Michigan
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN18217 Florida

Profile Details

NPI number 1689649931
LBN Legal business name Puckett, Todd Trabor
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Apr 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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