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DR. DEREK DESHAN MASON DDS
NPI 1679566475
Dentist - Pediatric Dentistry in Hiram, GA

Active since August 26, 2005
126 ENTERPRISE PATH, HIRAM, GA 30141(770) 439-2550(770) 439-2141 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek Deshan Mason Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK DESHAN MASON DDS (NPI 1679566475) is an individual pediatric dentistry provider in Hiram, Georgia, licensed in Georgia (DN012710) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1679566475
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. DEREK DESHAN MASONCredential: DDS
Location Address126 ENTERPRISE PATHHiram, GA 30141-2656
Mailing Address126 Enterprise Path, Suite #106Hiram, GA 30141 · (770) 832-1376 · Fax (770) 832-1487
Phone(770) 439-2550
Fax(770) 439-2141
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateOctober 16, 2012
✔ NPI 1679566475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN012710
Definition
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.
126 ENTERPRISE PATH, Hiram, GA 30141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KUN TANG M.D.
Psychiatry & Neurology (Psychiatry)
126 ENTERPRISE PATH
HIRAM, GA 30141
Paulding County (678) 567-0929
MICHELE MCCOLLIGAN LPC
Counselor (Mental Health)
126 ENTERPRISE PATH, SUITE 205
HIRAM, GA 30141
Paulding County (678) 584-3989
MRS. WATONNA LYNN TURNER NP-C
Nurse Practitioner (Family)
126 ENTERPRISE PATH, SUITE 106
HIRAM, GA 30141
Paulding County (770) 439-9119
MRS. ASHLEIGH WOODS
Counselor (Mental Health)
126 ENTERPRISE PATH, STE 201
HIRAM, GA 30141
Paulding County (678) 567-0920
MRS. TAMARA DAWN LIVELY M.A., LPC
Counselor (Professional)
126 ENTERPRISE PATH
HIRAM, GA 30141
Paulding County (678) 896-8959
HIGHLAND RIVERS CSB
Community/Behavioral Health
126 ENTERPRISE PATH, SUITE #202
HIRAM, GA 30141
Paulding County (678) 567-0920
FAMILY INTERVENTION SPECIALIST'S, INC
Counselor (Mental Health)
126 ENTERPRISE PATH, SUITE 101
HIRAM, GA 30141
Paulding County (770) 222-6622
JESSICA BROWN
Community Health Worker
126 ENTERPRISE PATH
HIRAM, GA 30141
Paulding County (706) 270-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Mason's NPI number?

The NPI number for Derek Mason is 1679566475. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Derek Mason located?

Derek Mason practices at 126 Enterprise Path, Hiram, GA 30141. The listed phone number is (770) 439-2550.

What is Derek Mason's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Derek Mason accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Derek Mason as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Mason was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.