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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEREK DESHAN MASON, DDS

Active

DR. DEREK DESHAN MASON, DDS is a Pediatric Dentistry healthcare provider located in HIRAM, Georgia. NPI 1679566475 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · HIRAM, GA

Registration Details

NPI Number
1679566475
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2005 (21.008973188408 yrs)
Last Updated
Oct 16, 2012
License
DN012710 (GA)

Practice Information

Address
126 ENTERPRISE PATH
HIRAM, GA, 301412656
Browse GA providers · Browse ZIP 30141
Phone
7704392550
Fax
7704392141
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in HIRAM, GA

Name Credential NPI
DR. JASON EDWARD TURNER D.M.D. 1730275306
DR. MINDY LYNN SIMMS DDS 1992873210
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.