Search › Georgia › 122300000X
Ethan Khazali, DMD
NPI 1710468228 · on the registry since 2018
Practice
- Address
- 918 Market Place Blvd
Cumming, GA 30041 - Phone
- (470) 695-3071
- Organisation at this address
- Cumming Smiles Dentistry, Pc
Georgia Implants And Dentures LlcInferred from a shared address, not stated in the registry.
Additional practice sites
- 932 Allen Rd, Nashville, TN
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
1223G0001X
1223G0001X - Licence states on file
- CA, TN, WA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia