Healthcare Provider Details

I. General information

NPI: 1942108071
Provider Name (Legal Business Name): KANIKA SACHDEV DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2026
Last Update Date: 10/28/2026
Certification Date: 10/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17917 BOTHELL EVERETT HWY STE 305
BOTHELL WA
98012-6379
US

IV. Provider business mailing address

16625 NE 143RD ST
WOODINVILLE WA
98072-6906
US

V. Phone/Fax

Practice location:
  • Phone: 425-481-1038
  • Fax:
Mailing address:
  • Phone: 617-602-2061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KANIKA SACHDEV
Title or Position: DENTIST / OWNER
Credential: DMD
Phone: 617-602-2061