Jack A Davidson DDS MD Pllc

Jack A Davidson DDS MD Pllc is a healthcare organization registered as Oral and Maxillofacial Surgery (Dentist) in Lithia, FL, holding Type 2 (organization) NPI 1548403314 since 2009. The authorized official on file is Jack Davidson, Doctor.

✓ Active NPI ✓ Valid NPI checksum

NPI	1548403314
Entity type	Organization (Type 2)
Legal business name	Jack A Davidson DDS MD Pllc
Practice address	16141 FISHHAWK BLVD STE B, Lithia, FL, 33547
Phone	8135711516
Fax	8135711626
Enumeration date	2009-04-09
Last updated in NPPES	2025-07-09

Authorized official

Name	Jack Davidson
Title	Doctor
Phone	8135711516

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
2086S0122X	Plastic and Reconstructive Surgery Physician	Secondary	ME72794	FL
1223S0112X	Oral and Maxillofacial Surgery (Dentist)	Primary	10794	MD

Copy-ready billing details

Provider: Jack A Davidson DDS MD Pllc
NPI: 1548403314
Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist))
Address: 16141 FISHHAWK BLVD STE B, Lithia, FL, 33547

Providers at this address

NPI	Name	Type	Specialty	Location
1831289099	Jack Davidson	Individual	Oral and Maxillofacial Surgery (Dentist)	Lithia, FL

Verify this record

Cross-check NPI 1548403314 against the authoritative CMS record: view Jack A Davidson DDS MD Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Jack A Davidson DDS MD Pllc located?

The practice location on file with NPPES is in Lithia, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-09.