Provider Demographics
NPI:1356239222
Name:ARCHWAY DENTAL SERVICES OF NY
Entity type:Organization
Organization Name:ARCHWAY DENTAL SERVICES OF NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-355-4137
Mailing Address - Street 1:4 MOUNTAINVIEW TER STE 201
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4116
Mailing Address - Country:US
Mailing Address - Phone:203-730-1267
Mailing Address - Fax:203-748-4340
Practice Address - Street 1:30 N GREELEY AVE
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3410
Practice Address - Country:US
Practice Address - Phone:914-425-8084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty