Provider Demographics
NPI:1891683082
Name:BUREAU FAMILY DENTAL
Entity type:Organization
Organization Name:BUREAU FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BUREAU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-376-6007
Mailing Address - Street 1:15 PRYDE DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-1810
Mailing Address - Country:US
Mailing Address - Phone:203-376-6007
Mailing Address - Fax:
Practice Address - Street 1:999 ORONOQUE LN STE 207
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-1379
Practice Address - Country:US
Practice Address - Phone:203-376-6007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental