Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730879396 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Alexander Dimitriu , DDS

Dentist - General Practice • Lady Lake, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Dimitriu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2023
NPI Deactivation Date August 10, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Dimitriu, DDS was a registered Dentist - General Practice practicing in Lady Lake, FL. Throughout an active medical career spanning 2 years, Dr. Dimitriu provided care at the practice location at 13700 N US HIGHWAY 441 until profile deactivation on 2025-08-10.

Practice Location & Contact Primary Location

Practice Address

13700 N Us Highway 441

Lady Lake, FL 321598980

Telephone 3522590822
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lady Lake, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Lady Lake, 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: 2025-08-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN30808

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

4 Associated Practitioners
Dr. Thomas Bailey , DMD

Dentist - General Practice

NPI 1497854871

Doctor of Dental Medicine

NPI 1548980766

Doctor of Dental Surgery

Dr. Claudio Marcantonio , DDS

Dentist - General Practice

NPI 1710635701

Doctor of Dental Surgery

NPI 1902596653

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location August 25, 2025

Registered at 13700 N US HIGHWAY 441, LADY LAKE, FL 321598980 (Tel: 3522590822)

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Updated Business Mailing Address August 25, 2025

Registered at 13700 N US HIGHWAY 441, LADY LAKE, FL 321598980

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Provider Name / Credentials Updated August 25, 2025

Recorded as MARK DIMITRIU, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Dentist (License #DN30808 in FL)

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NPI Profile Deactivated August 10, 2025

Record deactivated on August 10, 2025

NPI Profile Active May 10, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 10, 2023

Registered at 4071 LEE RD STE 260, CLEVELAND, OH 441282173 (Tel: 2167270124)

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Updated Business Mailing Address May 10, 2023

Registered at 4071 LEE RD STE 260, CLEVELAND, OH 441282173

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Provider Name / Credentials Updated May 10, 2023

Recorded as MARK DIMITRIU, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Student in an Organized Health Care Education/Training Program (License #RES.004574 in OH)

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Initial NPI Registration & Enumeration May 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730879396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2023
Last Update: August 25, 2025
Deactivation Date: August 10, 2025
Sole Proprietor: Yes

Mailing Address

13700 N Us Highway 441

Lady Lake, FL 321598980

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.