Jack A Davidson Dds Md Pllc
Plastic and Reconstructive Surgery Clinic | Surgery
16141 Fishhawk Blvd Ste B, Lithia
Florida, 33547-4380
813-571-1516 813-571-1626
Maps & DirectionsJack A Davidson Dds Md Pllc is a Surgery (Plastic and Reconstructive Surgery) Clinic in Lithia, Florida. It is located at 16141 Fishhawk Blvd Ste B, Lithia, FL and its contact number is 813-571-1516. The authorized person for Jack A Davidson Dds Md Pllc is Dr. Jack Davidson Jr.
who is Doctor of the clinic and their contact number is 813-571-1516. The primary license number for Jack A Davidson Dds Md Pllc is 10794 (Oral and Maxillofacial Surgery) in Maryland.
Jack A Davidson Dds Md Pllc Clinic A surgeon who specializes in plastic and reconstructive surgery.
Complete Clinic Profile:
Jack A Davidson Dds Md Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jack A Davidson Dds Md Pllc |
| Specialization: | Plastic and Reconstructive Surgery, Surgery |
| Clinic Address: | 16141 Fishhawk Blvd Ste B, Lithia,
Florida, 33547-4380 |
| Phone: | 813-571-1516 |
| Fax: | 813-571-1626 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jack Davidson Jr. |
| Position: | Doctor |
| Contact Number: | 813-571-1516 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jack A Davidson Dds Md Pllc clinic are as mentioned below.
| NPI Number: | 1548403314 |
| NPI Enumeration Date: | 09 Apr, 2009 |
| NPI Last Update On: | 09 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack A Davidson Dds Md Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 10794 | Maryland | Primary | |
| Plastic and Reconstructive Surgery | ME72794 | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jack A Davidson Dds Md Pllc
16141 Fishhawk Blvd Ste B,
Lithia, Florida |
| Zip: | 33547-4380 |
| Phone Number: | 813-571-1516 |
| Fax Number: | 813-571-1626 |
Patients can reach Jack A Davidson Dds Md Pllc at
16141 Fishhawk Blvd Ste B, Lithia, Florida or can
call to book an appointment on 813-571-1516.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.