Healthcare Provider Details

I. General information

NPI: 1932011392
Provider Name (Legal Business Name): ARCHWAY DENTAL SERVICES OF NEW YORK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 LEGION DR
VALHALLA NY
10595-2057
US

IV. Provider business mailing address

4 MOUNTAINVIEW TER STE 201
DANBURY CT
06810-4116
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY PIKE
Title or Position: PARTNER
Credential: DDS
Phone: 203-792-5478