Jack A Davidson Dds Md Pllc
Oral and Maxillofacial Dental Clinic
16141 Fishhawk Blvd Ste B, Lithia
Florida, 33547-4380
813-571-1516 813-571-1626
Maps & DirectionsJack A Davidson Dds Md Pllc is a Oral and Maxillofacial Dental 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 deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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: | Oral and Maxillofacial 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
13 July, 2026.