MEDICARE: DR. AMY ORTHODONTICS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1811825102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. AMY ORTHODONTICS

Provider Business Mailing Address
First Line	:	52 BEACH RD STE 206
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-6017
Country	:	US
Telephone Number	:	646-262-6283
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 BEACH RD STE 206
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-6017
Country	:	US
Telephone Number	:	646-262-6283
Fax Number	:

Authorized Official
Title or Position	:	OWNER ORTHODONTIST
Name	:	DR. AMY HAREL
Credential	:	DDS
Telephone Number	:	917-774-1855

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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