P Praxis·MD
● Active Type 1 · Individual

DR. Derek Deshan Mason, DDS

Dentist·Hiram, GA· NPI 1679566475 · Enumerated 2005 · 20 years on NPI
Mason is 1 of 4 dentist providers in Hiram and 1 of 539 in Georgia.
NPI age
20 years
Enumerated 2005-08-26
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-10-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
126 Enterprise Path
Hiram, GA 301412656
📞 7704392550fax 7704392141
Mailing address
126 Enterprise Path, Suite #106
Hiram, GA 30141
📞 7708321376fax 7708321487

Specialties

  • Dentist Primary
    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.
    GA license #DN012710 taxonomy 1223P0221X

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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