DR. JACK ALLEN DAVIDSON DDS MD NPI 1831289099

NPI Information

  • NPI: 1831289099
  • Provider Name: DR. JACK ALLEN DAVIDSON, DDS, MD
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • Address: 1165 NIKKI VIEW DR
    BRANDON, FL
    ZIP 33511
  • Phone: (813) 571-1516

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NPI Details

DR. Jack Allen Davidson, DDS, MD is a plastic surgery in Brandon, FL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Jack Allen Davidson, DDS, MD NPI is 1831289099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1165 NIKKI VIEW DR
BRANDON, FL
ZIP 33511-879
Phone: (813) 571-1516
Fax: (813) 571-1626

The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery10794MARYLANDNo
2208200000XPlastic SurgeryME72794FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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