Healthcare Provider Details

I. General information

NPI: 1922914555
Provider Name (Legal Business Name): ARCHWAY DENTAL PARTNERS OF MASSACHUSETTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 TURNPIKE ST # 1-5
SOUTH EASTON MA
02375-1776
US

IV. Provider business mailing address

4 MOUNTAINVIEW TER STE 201
DANBURY CT
06810-4116
US

V. Phone/Fax

Practice location:
  • Phone: 508-238-4070
  • Fax:
Mailing address:
  • Phone: 203-730-1267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: GREGORY WU
Title or Position: PRESIDENT
Credential:
Phone: 203-730-1267