DR. DEREK DESHAN MASON (DDS) – Pediatric Dentistry, NPI 1679566475

DR. DEREK DESHAN MASON (DDS) is a healthcare provider. based in Hiram, Georgia. specializing in Pediatric Dentistry. They hold the professional credentials DDS. They hold a License No. DN012710 (GA). The NPI Number for DR. DEREK DESHAN MASON (DDS) is 1679566475

Main info

Male
Name
DR. DEREK DESHAN MASON (DDS)
NPI
1679566475
Phone
(770) 832-1376
Address
126 ENTERPRISE PATH
Enumeration Date
26 August 2005
Last Update Date
16 October 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. DEREK DESHAN MASON (DDS)

  • 126 ENTERPRISE PATH

    SUITE #106

    HIRAM, GA 30141

    Phone: (770) 832-1376

    Fax: (770) 832-1487

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30141)

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Reviews

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Frequently asked questions

How is DR. DEREK DESHAN MASON (DDS) identified in CMS data?
CMS-hosted NPPES data lists DR. DEREK DESHAN MASON (DDS) with NPI 1679566475.
Can I rely on DR. DEREK DESHAN MASON (DDS) being an active provider?
As of the registry snapshot, DR. DEREK DESHAN MASON (DDS) is marked active.
What taxonomy line describes DR. DEREK DESHAN MASON (DDS)?
For research purposes, treat DR. DEREK DESHAN MASON (DDS) as Pediatric Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. DEREK DESHAN MASON (DDS) based?
DR. DEREK DESHAN MASON (DDS) is tied to Hiram, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about DR. DEREK DESHAN MASON (DDS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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