NPI age
7 years
Enumerated 2018-08-23
● Active
Type 1 · Individual
DR. Ethan S Khazali, DMD
Khazali is 1 of 39 dentist providers in Cumming and 1 of 2660 in Georgia.
Primary specialty
Dentist
Plus 3 subspecialties
Licensed in
GA, CA, TN, WA
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2660 active dentist providers in Georgia.
NPI age
7 years
↓ 7 yr below median (14 yr)
State licenses
4 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Practice location
918 Market Place Blvd
Cumming, GA 300417920
Mailing address
918 Market Place Blvd
Cumming, GA 300417920
Additional practice locations
1 secondary location on file with NPPES.
Location 2
932 Allen Rd
Nashville, TN 372143507
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
-
DentistA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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