Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN S KHAZALI, DMD
ActiveDR. ETHAN S KHAZALI, DMD is a Dentist healthcare provider located in CUMMING, Georgia. NPI 1710468228 is currently active in the NPPES registry. Verify at CMS.
Dentist · CUMMING, GA
Registration Details
- NPI Number
- 1710468228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2018 (7.9885851997791 yrs)
- Last Updated
- Jan 23, 2026
- Licenses
-
DDS111702 (CA)11443 (TN)DE60862683 (WA)DN124057 (GA)
Practice Information
- Address
-
918 MARKET PLACE BLVDCUMMING, GA, 300417920Browse GA providers · Browse ZIP 30041
- Phone
- 4706953071
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
- Additional Specialty
- Dentist
Other Dentist Providers in CUMMING, GA
| Name | Credential | NPI |
|---|---|---|
| DR. AMAL SALEH KARAWI | DDS | 1063414498 |
| DR. SENGSOURIYA ANANTHASANE | DMD | 1346238706 |
| DR. LYDIA AZEALA MONK | DDS | 1679552947 |
| DR. MICHAEL D PALMER | D.D.S. | 1881618072 |
| DR. FARID MOGHADDAM | D.M.D. | 1184635484 |
| DR. ZACHARY JOSEPH POWELL | D.M.D | 1033221684 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.