MEDICARE: MAYANK SAXENA DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1205784345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYANK SAXENA DDS PLLC

Provider Business Mailing Address
First Line	:	9 LAKE BELLEVUE DR
Second Line	:	ST 203
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2454
Country	:	US
Telephone Number	:	425-641-4111
Fax Number	:	425-641-2009

Provider Business Practice Location Address
First Line	:	9 LAKE BELLEVUE DR
Second Line	:	ST 203
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2454
Country	:	US
Telephone Number	:	425-641-4111
Fax Number	:	425-641-2009

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MAYANK SAXENA
Credential	:	DDS
Telephone Number	:	857-210-2601

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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