OrganizationActive
Park Street Family Dental
NPI 1518234079 · General Practice Dentistry · Hartford, CT
Park Street Family Dental is a General Practice Dentistry organization in Hartford, CT (NPI 1518234079).
Provider details
- NPI number
- 1518234079
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Krishnaprasanth Mudusu, Owner(860) 944-2802
- License
- 010554 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
454 Park St
Hartford, CT 06106-1525
Phone: (860) 944-2802
Street-level locationGet directions
Mailing address
454 Park St
Hartford, CT 06106-1525
Registry dates
- Enumerated
- 2011-11-28
- Last updated
- 2011-11-28
Frequently asked questions
- What is Park Street Family Dental's NPI number?
- Park Street Family Dental's National Provider Identifier (NPI) is 1518234079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Street Family Dental?
- Park Street Family Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Park Street Family Dental located?
- Park Street Family Dental's practice location on file with NPPES is 454 Park St, Hartford, CT 06106-1525.
- What is Park Street Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Park Street Family Dental is (860) 944-2802.
- Who is the authorized official for Park Street Family Dental?
- The authorized official listed on Park Street Family Dental's NPPES record is Krishnaprasanth Mudusu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Street Family Dental's NPI active?
- Yes — Park Street Family Dental's NPI (1518234079) is active in the NPPES registry as of the last update on 2011-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.