Ioan Tudor Mititelu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10000777 Issued in MA

Practice address

868 Lexington St
Waltham, MA 02452-4849

Phone

(781) 684-9714

NPI assigned

Aug 11, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1528943263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024524849",
            "telephone_number": "617-710-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024524849",
            "telephone_number": "781-684-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITITELU",
        "first_name": "IOAN",
        "middle_name": "TUDOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lampros A Minos, PA-C
• Maxwell Taylor Mirabile
• Nadia Miranda
• Amee D. Mistry, PHARM.D.
• Judith Mitchell, PT
• MJG Management Associates, Inc. (At Home VNA)
• Kerry Lynne Moe, LICSW
• Ahmed Mohiuddin, M.D.
• Leah Moisan
• Kathleen Molgaard, DMD

• General Practice Dentistry in Waltham, MA
• Providers in Waltham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.