Healthcare Provider Details

I. General information

NPI: 1528999893
Provider Name (Legal Business Name): BLUEBIRD DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HDSN VLY PROF PLZ
NEWBURGH NY
12550-3150
US

IV. Provider business mailing address

5 HDSN VLY PROF PLZ
NEWBURGH NY
12550-3150
US

V. Phone/Fax

Practice location:
  • Phone: 203-980-3235
  • Fax:
Mailing address:
  • Phone: 845-562-5570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. MAY LYNN SIU
Title or Position: PEDIATRIC DENTIST/OWNER
Credential: DDS
Phone: 845-562-5570