P Praxis·MD
● Active Type 1 · Individual

DR. Khalil Daniel Cumberbatch, D.D.S.

Dentist·Decatur, GA· NPI 1841400546 · Enumerated 2007 · 19 years on NPI
Cumberbatch is 1 of 99 dentist providers in Decatur and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2007-05-23
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
3660 Flat Shoals Rd, Ste 100
Decatur, GA 300341635
📞 4042430217
Mailing address
3660 Flat Shoals Rd, Ste 100
Decatur, GA 300341635

Specialties

  • Dentist Primary
    A 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.
    GA license #DN013502 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (GA) DN013502 STATE DENTAL LICENCE

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Decatur in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 4309 Dentist providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related