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General NPI Number Information
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NPI Number | 1356239222
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Entity Type | Organization
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Legal Business Name | ARCHWAY DENTAL SERVICES OF NY
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 30 N GREELEY AVE
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3410
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Country | US
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Telephone | 914-425-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MOUNTAINVIEW TER STE 201
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City | DANBURY
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State | CT
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Zip | 06810-4116
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Country | US
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Telephone | 203-730-1267
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Fax | 203-748-4340
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Authorized Official
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Title or Position | PARTNER
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Name | COURTNEY E PECK
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Credential | DDS
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Telephone | 860-355-4137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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