MEDICARE: ARCHWAY DENTAL SERVICES OF NY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	122300000X	Dentist
2	1223E0200X	Endodontics
3	1223P0221X	Pediatric Dentistry
4	1223P0300X	Periodontics
5	1223P0700X	Prosthodontics

General Provider Information

NPI Number	:	1356239222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHWAY DENTAL SERVICES OF NY

Provider Business Mailing Address
First Line	:	4 MOUNTAINVIEW TER STE 201
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-4116
Country	:	US
Telephone Number	:	203-730-1267
Fax Number	:	203-748-4340

Provider Business Practice Location Address
First Line	:	30 N GREELEY AVE
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3410
Country	:	US
Telephone Number	:	914-425-8084
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	COURTNEY E PECK
Credential	:	DDS
Telephone Number	:	860-355-4137

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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Directions to “ARCHWAY DENTAL SERVICES OF NY ” Practice Location

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