DR. Jack Allen Davidson JR., DDS, MD

NPI #1831289099 in Lithia, Florida

Provider Information

NPI Number
1831289099
Entity Type
Individual
Name
DR. Jack Allen Davidson JR., DDS, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS, MD
Enumeration Date
Oct 16, 2006
Last Updated
Jul 9, 2025

Practice Location

Address
16141 FISHHAWK BLVD STE B
City
Lithia
State
Florida
ZIP Code
33547-4380
Phone
(813) 571-1516

Specialties & Taxonomy Codes

Specialty
Plastic Surgery
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Organizations

Provider Name
Fishhawk Oral and Facial Surgery LLCNewBizBotAI Deep Dive
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