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Jack A Davidson DDS MD Pllc

Oral and Maxillofacial Surgery (Dentist) in Lithia, FL · enumerated 2009 · authorized official Jack Davidson, Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548403314

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Registry record

Entity type Organization (Type 2)
Legal business name Jack A Davidson DDS MD Pllc
Practice address 16141 Fishhawk Blvd Ste B, Lithia, FL, 33547
Fax (813) 571-1626
Enumeration date Apr 9, 2009
Last updated in NPPES Jul 9, 2025

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 10794 (MD) Primary
2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License ME72794 (FL) Secondary

Authorized official

Name Jack Davidson
Title Doctor

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.

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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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-09.