Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619661691 Individual Practitioner Male Practitioner

Dr. Javier Eduardo Rebolledo , DMD

Dentist - General Practice • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Dr. Javier Rebolledo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Brandon, FL. Practice services are available at 2114 W BRANDON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2114 W Brandon Blvd

Brandon, FL 335114704

Telephone 8135223677
Associated Practice Facility / Clinic
🏢 Sage Dental Of Brandon 2 Pllc Facility NPI 1588309165

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Brandon, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN30986

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. John Dos Passos , DMD

Dentist - General Practice

NPI 1265411953

Doctor of Dental Medicine

NPI 1669041646

Doctor of Dental Medicine

Nicole Viola

Dentist - Oral and Maxillofacial Surgery

NPI 1760916571

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 05, 2026

Registered at 2114 W BRANDON BLVD, BRANDON, FL 335114704 (Tel: 8135223677)

📍
Updated Business Mailing Address January 05, 2026

Registered at 12106 CLEARBROOK CT, RIVERVIEW, FL 335694104 (Tel: 2398349006)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2026

Dentist (License #DN30986 in FL)

NPI Profile Active June 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2023

Registered at 1730 SCHROCK RD, COLUMBUS, OH 432291575 (Tel: 6148901333)

📍
Updated Business Mailing Address June 05, 2023

Registered at 826 BOWMAN WAY UNIT 308, COLUMBUS, OH 432121583 (Tel: 2398349006)

👤
Provider Name / Credentials Updated June 05, 2023

Recorded as JAVIER REBOLLEDO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Dentist (License #30.027209 in OH)

🟢
Initial NPI Registration & Enumeration June 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Javier Rebolledo. Be the first to share your experience!

Sign in to leave a review for Dr. Javier Rebolledo

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619661691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: January 05, 2026
Sole Proprietor: No

Mailing Address

12106 Clearbrook Ct

Riverview, FL 335694104

Phone: 2398349006

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.