Jack a Davidson DDS MD PLLC
Jack a Davidson DDS MD PLLC is an Oral and Maxillofacial Surgery (Dentist) in Lithia, Florida. Licensed in Florida and Maryland. Registered with an NPI since 2009.
- Licensed in
- FL, MD
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16141 Fishhawk Blvd Ste BLithia, FL 33547-4380
Phone: (813) 571-1516
Fax: (813) 571-1626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 10794 (MD) |
|---|---|
| Plastic and Reconstructive Surgery Physician | Taxonomy 2086S0122X · Licence ME72794 (FL) |
Record details
| NPI number | 1548403314 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Davidson — Doctor · (813) 571-1516 |
| NPI enumerated | April 9, 2009 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | July 9, 2025 |
| Mailing address | 16141 Fishhawk Blvd Ste B, Lithia, FL 33547-4380 |
Other providers in Lithia
-
Fishhawk Oral and Facial Surgery LLC
16132 Churchview Dr Ste 101, Lithia, FL 33547-3850 · (813) 687-5257