Ethan S. Khazali, DMD
NPI 1710468228ActiveIndividual· Dentist· Cumming, GA
Dentist (DMD) in Cumming, Georgia, licensed in GA, CA, TN and WA, with an NPI issued in August 2018. Part D covered 162 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1710468228 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Aug 23, 2018 |
| Last updated in NPPES | Jan 23, 2026 |
| Certified by provider | Jan 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN124057 | GA |
| Dentist | 122300000X | DDS111702 | CA |
| Dentist, General Practice | 1223G0001X | 11443 | TN |
| Dentist, General Practice | 1223G0001X | DE60862683 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 162 · 162 30-day fills |
|---|---|
| Patients | 71 |
| Total drug cost | $711.47 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other dentists in Cumming
- 1033221684
- 1306299854
- 1326202979
- 1346238706
- 1376836403
- 1386716108
- 1457766081
- 1497981799
- 1558815969
- 1639550171
- 1669097614
- 1669886248