Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALEXANDER DIMITRIU, DDS
Deactivated Sole ProprietorDR. MARK ALEXANDER DIMITRIU, DDS is a General Dentistry healthcare provider located in LADY LAKE, Florida. NPI 1730879396 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · LADY LAKE, FL
This NPI has been deactivated.
The record was deactivated on August 10, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1730879396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2023 (2.2575342465753 yrs)
- Last Updated
- Aug 25, 2025
- Deactivated
- Aug 10, 2025
- License
-
DN30808 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13700 N US HIGHWAY 441LADY LAKE, FL, 321598980Browse FL providers · Browse ZIP 32159
- Phone
- 3522590822
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LADY LAKE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. KELLY HUD LEAIRD | D.M.D. | 1477576486 |
| DR. JULIA GERMAN | — | 1508977273 |
| DR. THOMAS KEVIN BAILEY | D.M.D. | 1497854871 |
| KENNETH COHRN | DDS | 1417003401 |
| DR. LEON F GERARD | D.D.S. | 1720287303 |
| DR. MILTON C. VANMETER | DMD | 1568652949 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.