JACK A DAVIDSON DDS MD PLLC
NPI 1548403314
Dentist - Oral and Maxillofacial Surgery in Lithia, FL

NPI Status: Active since April 09, 2009

Contact Information

16141 FISHHAWK BLVD STE B
LITHIA, FL
ZIP 33547
Phone: (813) 571-1516
Fax: (813) 571-1626

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About JACK A DAVIDSON DDS MD PLLC

This page provides the complete NPI Profile along with additional information for Jack A Davidson Dds Md Pllc, a provider established in Lithia, Florida operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1548403314 assigned on April 2009. The practitioner's primary taxonomy code is 1223S0112X with license number 10794 (MD). The provider is registered as an organization and their NPI record was last updated one year ago. Jack A Davidson Dds Md Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Jack Davidson Jr. D.d.s, Md (Doctor)

NPI
1548403314
Provider Name
JACK A DAVIDSON DDS MD PLLC
Entity Type
Organization
Location Address
16141 FISHHAWK BLVD STE B LITHIA, FL 33547
Location Phone
(813) 571-1516
Location Fax
(813) 571-1626
Mailing Address
16141 FISHHAWK BLVD STE B LITHIA, FL 33547
Mailing Phone
(813) 571-1516
Mailing Fax
(813) 571-1626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2009
Last Update Date
07-09-2025
Code Navigator

A dentist like Jack A Davidson Dds Md Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
10794
License State
MD
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

ME72794 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACK DAVIDSON JR. D.D.S, MD

Authorized Official Title
DOCTOR
Authorized Official Phone
(813) 571-1516

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548403314, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 8 + 0 + 6 + 3 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1548403314.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
16141 FISHHAWK BLVD STE B
LITHIA, FL 33547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548403314, enumerated as an "organization" on April 09, 2009.

The provider is located at 16141 FISHHAWK BLVD STE B LITHIA, FL 33547 and the phone number is (813) 571-1516.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.