Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan S Khazali, DMD

Individual provider Dentist · NPI 1710468228

Dr. Ethan S Khazali, DMD is a Dentist in Cumming, Georgia. Works from 2 locations. Licensed in California, Georgia, Tennessee and Washington.

Licensed in
CA, GA, TN, WA
In the registry since
2018
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

918 Market Place Blvd
Cumming, GA 30041-7920
Phone: (470) 695-3071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 932 Allen Rd, Nashville, TN 37214-3507 — (615) 781-9335

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN124057 (GA)
Dentist Taxonomy 122300000X · Licence DDS111702 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11443 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence DE60862683 (WA)

Record details

NPI number1710468228
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

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