Individual provider Active NPI

Paul Michael Bucking, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Jacksonville, FL
National Provider Identifier
1699188391
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DN27708 Issued in FL
Practice address
Naval Hospital Jacksonville
Jacksonville, FL 32214-0001
Phone
(904) 542-7765
NPI assigned
Jun 10, 2014
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN27708 FL
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN27708 FL Primary

Addresses

Primary practice location

Naval Hospital Jacksonville
Jacksonville, FL 32214-0001

Mailing address

PSC 808 Box 19
Fpo, AE 09618-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102001379 FL Practitioner - Oral SurgeryPractitioner - Dentist 8527366699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
University of Connecticut School of Dental Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boynton Oral Surgery and Implant Center PLLCGroup PAC ID 0042648727, 3 clinicians

Practice addresses (Care Compare)

3695 W Boynton Beach Blvd
Suite 1
Boynton Beach, FL 33436-4516
Phone (561) 364-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boynton Oral Surgery and Implant Center PLLC Oral and Maxillofacial Surgery CurrentSince Nov 25, 2024 Accepting new patients

Locations

3695 W Boynton Beach Blvd
Ste 1
Boynton Beach, FL 33436
Phone (561) 346-1800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1699188391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 808 BOX 19",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096180001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL JACKSONVILLE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322140001",
            "telephone_number": "904-542-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKING",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2026-02-12",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN27708",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN27708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.