MEDICARE: BLUEBIRD DENTAL CARE

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	122300000X	Dentist

General Provider Information

NPI Number	:	1528999893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUEBIRD DENTAL CARE

Provider Business Mailing Address
First Line	:	5 HDSN VLY PROF PLZ
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-3150
Country	:	US
Telephone Number	:	845-562-5570
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 HDSN VLY PROF PLZ
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-3150
Country	:	US
Telephone Number	:	203-980-3235
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	06/02/2026

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