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

Active since April 09, 2009
16141 FISHHAWK BLVD STE B, LITHIA, FL 33547(813) 571-1516(813) 571-1626 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jack A Davidson Dds Md Pllc NPPES

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

JACK A DAVIDSON DDS MD PLLC (NPI 1548403314) is a healthcare organization registered as an oral and maxillofacial surgery in Lithia, Florida and active in the NPI registry since April 2009. The organization lists Jack Davidson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1548403314
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJACK A DAVIDSON DDS MD PLLC
Location Address16141 FISHHAWK BLVD STE BLithia, FL 33547-4380
Mailing Address16141 Fishhawk Blvd Ste BLithia, FL 33547-4380 · (813) 571-1516 · Fax (813) 571-1626
Phone(813) 571-1516
Fax(813) 571-1626
Organization SubpartNo
Authorized OfficialJack DavidsonDoctor · (813) 571-1516
Enumeration DateApril 9, 2009
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1548403314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MD · 10794
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.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License ME72794 (FL)
16141 FISHHAWK BLVD STE B, Lithia, FL 33547
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JACK ALLEN DAVIDSON JR. DDS, MD
Dentist (Oral and Maxillofacial Surgery)
16141 FISHHAWK BLVD STE B
LITHIA, FL 33547
Hillsborough County (813) 571-1516

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 Jack A Davidson Dds MD PLLC's NPI number?

The NPI number for Jack A Davidson Dds MD PLLC is 1548403314. It was assigned to this organization in the NPPES registry on April 9, 2009.

Where is Jack A Davidson Dds MD PLLC located?

Jack A Davidson Dds MD PLLC is located at 16141 Fishhawk Blvd Ste B, Lithia, FL 33547. The listed phone number is (813) 571-1516.

What is Jack A Davidson Dds MD PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack A Davidson Dds MD PLLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.