DR. DEREK DESHAN MASON DDS NPI 1679566475

NPI Information

  • NPI: 1679566475
  • Provider Name: DR. DEREK DESHAN MASON, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 126 ENTERPRISE PATH
    HIRAM, GA
    ZIP 30141
  • Phone: (770) 439-2550

Map and Directions

Get Directions

NPI Details

DR. Derek Deshan Mason, DDS is a pediatric dentistry dentist in Hiram, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Derek Deshan Mason, DDS NPI is 1679566475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

126 ENTERPRISE PATH
HIRAM, GA
ZIP 30141-656
Phone: (770) 439-2550
Fax: (770) 439-2141

The enumeration date for this NPI number is 8/26/2005 and was last updated on 10/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryDN012710GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.