Jack a Davidson DDS MD PLLC
NPI 1548403314 · Oral and Maxillofacial Surgery (Dentist) · Lithia, FL
Jack a Davidson DDS MD PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Lithia, FL (NPI 1548403314).
Provider details
- NPI number
- 1548403314
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jack Davidson, Doctor(813) 571-1516
- License
- ME72794 (FL)
Specialties & taxonomies
Dental Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-09
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Frequently asked questions
- What is Jack a Davidson DDS MD PLLC's NPI number?
- Jack a Davidson DDS MD PLLC's National Provider Identifier (NPI) is 1548403314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack a Davidson DDS MD PLLC?
- Jack a Davidson DDS MD PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Jack a Davidson DDS MD PLLC located?
- Jack a Davidson DDS MD PLLC's practice location on file with NPPES is 16141 Fishhawk Blvd Ste B, Lithia, FL 33547-4380.
- What is Jack a Davidson DDS MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jack a Davidson DDS MD PLLC is (813) 571-1516.
- Who is the authorized official for Jack a Davidson DDS MD PLLC?
- The authorized official listed on Jack a Davidson DDS MD PLLC's NPPES record is Jack Davidson, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack a Davidson DDS MD PLLC's NPI active?
- Yes — Jack a Davidson DDS MD PLLC's NPI (1548403314) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.