Provider Demographics
NPI:1801089610
Name:DEEPAK K SACHDEV DDS INC.
Entity type:Organization
Organization Name:DEEPAK K SACHDEV DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPAK
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SACHDEV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-724-6000
Mailing Address - Street 1:122 THICKET LN
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:CA
Mailing Address - Zip Code:95019-3125
Mailing Address - Country:US
Mailing Address - Phone:831-724-6000
Mailing Address - Fax:
Practice Address - Street 1:122 THICKET LN
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:CA
Practice Address - Zip Code:95019-3125
Practice Address - Country:US
Practice Address - Phone:831-724-6000
Practice Address - Fax:831-724-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherMEDI-CAL