Healthcare Provider Details

I. General information

NPI: 1841337052
Provider Name (Legal Business Name): FRED JOSUE ALEDO RENTAS D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4009 TAMPA RD STE 6
OLDSMAR FL
34677-3232
US

IV. Provider business mailing address

12919 ROYAL GEORGE AVE
ODESSA FL
33556-5710
US

V. Phone/Fax

Practice location:
  • Phone: 813-448-7828
  • Fax:
Mailing address:
  • Phone: 813-205-7412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN18162
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: