Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Allen Davidson Jr., DDS, MD

Individual provider Plastic Surgery Physician · NPI 1831289099

Dr. Jack Allen Davidson Jr., DDS, MD is a Plastic Surgery Physician in Lithia, Florida. Licensed in Florida and Maryland. Registered with an NPI since 2006.

Licensed in
FL, MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

16141 Fishhawk Blvd Ste B
Lithia, FL 33547-4380
Phone: (813) 571-1516
Fax: (813) 571-1626
Show map & directions

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 Surgery Physician Taxonomy 208200000X · Licence ME72794 (FL)

Record details

NPI number1831289099
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

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