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Jack A Davidson Dds Md Pllc
Plastic and Reconstructive Surgery Physician in Brandon, Florida
NPI 1548403314

Jack A Davidson Dds Md Pllc is a Plastic and Reconstructive Surgery Physician based in Brandon, FL and is specialized in Plastic and Reconstructive Surgery. Jack A Davidson Dds Md Pllc practices in Brandon, FL. The NPI Number for Jack A Davidson Dds Md Pllc is 1548403314 and holds a License No. 10794 (Florida).

The current practice location address for Jack A Davidson Dds Md Pllc is 1165 Nikki View Dr, Brandon, FL and can be reached out via phone at 813-571-1516 and via fax at 813-571-1626.

Location: 1165 Nikki View Dr, Brandon, FL, 33511-4879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548403314
Provider Name
Jack A Davidson Dds Md Pllc
Credential
Provider Entity Type
Organization
Address
1165 Nikki View Dr, Brandon, FL, 33511-4879
Phone Number
813-571-1516
Fax Number
813-571-1626
Provider Enumeration Date
04/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1165 Nikki View Dr
City
Brandon
State
Florida
Zip
33511-4879
Phone Number
813-571-1516
Fax Number
813-571-1626
person
Provider Business Mailing Address Details
Address
1165 Nikki View Dr
City
Brandon
State
Florida
Zip
33511-4879
Phone Number
813-571-1516
Fax Number
813-571-1626
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
ME72794 (Florida)
Definition
The specialty of dentistry which includes 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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
10794 (Maryland)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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