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Dr. Derek Deshan Mason, DDS
Pediatric Dentist in Hiram, Georgia
NPI 1679566475

Derek Deshan Mason is a Pediatric Dentist based in Hiram, GA and is specialized in Pediatric Dentistry. Derek Deshan Mason practices in Hiram, GA and has the professional credentials of DDS. The NPI Number for Derek Deshan Mason is 1679566475 and holds a License No. DN012710 (Georgia).

The current practice location address for Derek Deshan Mason is 126 Enterprise Path, Hiram, GA and can be reached out via phone at 770-439-2550 and via fax at 770-439-2141.

Location: 126 Enterprise Path, Hiram, GA, 30141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679566475
Provider Name
Derek Deshan Mason
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
126 Enterprise Path, Hiram, GA, 30141
Phone Number
770-439-2550
Fax Number
770-439-2141
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
126 Enterprise Path
City
Hiram
State
Georgia
Zip
30141-2656
Phone Number
770-439-2550
Fax Number
770-439-2141
person
Provider Business Mailing Address Details
Address
126 Enterprise Path
City
Hiram
State
Georgia
Zip
30141-2656
Phone Number
770-439-2550
Fax Number
770-439-2141
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN012710 (Georgia)
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.
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