IndividualActive
Derek Mason, DDS
NPI 1679566475 · Pediatric Dentistry · Hiram, GA
Derek Mason, DDS is a Pediatric Dentistry provider in Hiram, GA (NPI 1679566475).
Provider details
- NPI number
- 1679566475
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN012710 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
126 Enterprise Path
Hiram, GA 30141-2656
Phone: (770) 439-2550
Fax: (770) 439-2141
Street-level locationGet directions
Mailing address
126 Enterprise Path
Hiram, GA 30141
Registry dates
- Enumerated
- 2005-08-26
- Last updated
- 2012-10-16
Frequently asked questions
- What is Derek Mason's NPI number?
- Derek Mason's National Provider Identifier (NPI) is 1679566475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Mason's specialty?
- Derek Mason is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Derek Mason located?
- Derek Mason's practice location on file with NPPES is 126 Enterprise Path, Hiram, GA 30141-2656.
- What is Derek Mason's phone number?
- The practice phone number listed in the NPPES registry for Derek Mason is (770) 439-2550.
- Is Derek Mason's NPI active?
- Yes — Derek Mason's NPI (1679566475) is active in the NPPES registry as of the last update on 2012-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.