| Dr Jack Allen Davidson Jr, DDS, MD | |
|
16141 Fishhawk Blvd Ste B, Lithia, FL 33547-4380 | |
| (813) 571-1516 | |
| (813) 571-1626 |
| Full Name | Dr Jack Allen Davidson Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 16141 Fishhawk Blvd Ste B, Lithia, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831289099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10794 (Maryland) | Primary |
| 208200000X | Plastic Surgery | ME72794 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Allen Davidson Jr, DDS, MD 16141 Fishhawk Blvd Ste B, Lithia, FL 33547-4380 Ph: (813) 571-1516 | Dr Jack Allen Davidson Jr, DDS, MD 16141 Fishhawk Blvd Ste B, Lithia, FL 33547-4380 Ph: (813) 571-1516 |
Dr. Felipe Salles, DDS, PHD Dentist Medicare: Medicare Enrolled Practice Location: 16627 Fishhawk Blvd Ste 102, Lithia, FL 33547 Phone: 813-681-6200 |
Dr. Nadine Krystal Jean-baptiste, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16228 Bayberry Glen Dr, Lithia, FL 33547 Phone: 813-324-7870 |
Dr. Valerie Castro, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5605 Skytop Dr, Lithia, FL 33547 Phone: 813-737-7370 |
Dr. Christopher Glenn Judson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 16737 Fishhawk Blvd, Lithia, FL 33547 Phone: 813-662-7171 Fax: 813-662-3024 |
Taylor Kluttz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5605 Skytop Dr, Lithia, FL 33547 Phone: 813-737-7370 |
Raquel Lobato Luque, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5658 Fishhawk Crossing Blvd, Lithia, FL 33547 Phone: 813-490-1982 |
Austin James Smith, Dentist Medicare: Not Enrolled in Medicare Practice Location: 16637 Fishhawk Blvd Ste 105, Lithia, FL 33547 Phone: 813-454-0821 Fax: 813-454-0053 |