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DR. ETHAN S KHAZALI DMD
NPI 1710468228
Dentist in Cumming, GA

Active since August 23, 2018
918 MARKET PLACE BLVD, CUMMING, GA 30041(470) 695-3071 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Dec 15, 2022, Dec 7, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Ethan S Khazali Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN S KHAZALI DMD (NPI 1710468228) is an individual dentist in Cumming, Georgia, licensed in Georgia (DN124057) and active in the NPI registry since August 2018. He maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1710468228
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ETHAN S KHAZALICredential: DMD
Location Address918 MARKET PLACE BLVDCumming, GA 30041-7920
Mailing Address918 Market Place BlvdCumming, GA 30041-7920 · (470) 470-5680
Phone(470) 695-3071
Sole ProprietorNo
Enumeration DateAugust 23, 2018
Last NPPES UpdateJanuary 23, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1710468228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in GA · DN124057✔ Licensed in CA · DDS111702
Definition
A 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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 11443 (TN), DE60862683 (WA)
918 MARKET PLACE BLVD, Cumming, GA 30041
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Secondary Practice Location 1

Location 1932 Allen RdNashville, TN 37214-3507 · Phone (615) 781-9335

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CUMMING SMILES DENTISTRY, PC
Dentist (General Practice)
918 MARKET PLACE BLVD
CUMMING, GA 30041
Forsyth County (678) 203-3395
GEORGIA IMPLANTS AND DENTURES LLC
Clinic/Center (Dental)
918 MARKET PLACE BLVD
CUMMING, GA 30041
Forsyth County (847) 308-4295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Khazali's NPI number?

The NPI number for Ethan Khazali is 1710468228. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Ethan Khazali located?

Ethan Khazali practices at 918 Market Place Blvd, Cumming, GA 30041. The listed phone number is (470) 695-3071.

What is Ethan Khazali's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ethan Khazali accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ethan Khazali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Khazali was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.