1. Home
  2. Directory
  3. Florida
  4. Lithia
  5. Dentist
  6. NPI Profile

DR. JACK ALLEN DAVIDSON JR. DDS, MD
NPI 1831289099
Dentist - Oral and Maxillofacial Surgery in Lithia, FL

Active since October 16, 2006
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: August 09, 2026.

About Dr. Jack Allen Davidson Jr. Dds, Md NPPES

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

DR. JACK ALLEN DAVIDSON JR. DDS, MD (NPI 1831289099) is an individual oral and maxillofacial surgery provider in Lithia, Florida, licensed in Maryland (10794) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1831289099
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JACK ALLEN DAVIDSON JR.Credential: DDS, MD
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
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1831289099 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 ListedPlastic SurgeryTaxonomy 208200000X · License ME72794 (FL)
16141 FISHHAWK BLVD STE B, Lithia, FL 33547
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES

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

JACK A DAVIDSON DDS MD PLLC
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 Davidson's NPI number?

The NPI number for Jack Davidson is 1831289099. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Jack Davidson located?

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

What is Jack Davidson's specialty?

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

What insurance does Jack Davidson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 10 other insurers list Jack Davidson 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 Jack Davidson 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 13 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.