Derek Deshan Mason, DDS

Pediatric Dentistry · Hiram, GA

Individual Active NPI

NPI number 1679566475

Practice location

126 Enterprise Path
Hiram, GA 30141-2656
Phone
(770) 439-2550
Fax
(770) 439-2141

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NPI record

NPI
1679566475
Entity type
Individual (Type 1)
Enumeration date
August 26, 2005
Last updated
October 16, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X DN012710 GA

Mailing address

126 Enterprise Path
Suite #106
Hiram, GA 30141
Phone
(770) 832-1376
Fax
(770) 832-1487

About Dr. Mason

Derek Deshan Mason, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 126 Enterprise Path, Hiram, GA 30141-2656. The NPI number 1679566475 was assigned on August 26, 2005 and the record was last updated on October 16, 2012.

Dr. Mason lists a license in the registry: #DN012710 (GA) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Deshan Mason, DDS?

The NPI number is 1679566475.

What is the phone number of Dr. Mason?

The phone number listed for the practice location is (770) 439-2550.

Where is Dr. Mason located?

126 Enterprise Path, Hiram, GA 30141-2656.

What is the taxonomy code for Dr. Mason?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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