Park Street Family Dental is a Dental Clinic in Hartford, Connecticut. It is located at 454 Park St, Hartford, CT and its contact number is 860-944-2802. The authorized person for Park Street Family Dental is Krishnaprasanth Mudusu
who is Owner of the clinic and their contact number is 860-944-2802. The primary license number for Park Street Family Dental is 010554 (General Practice) in Connecticut.
Park Street Family Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Park Street Family Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Park Street Family Dental |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 454 Park St, Hartford, Connecticut, 06106-1525 |
| Phone: | 860-944-2802 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Krishnaprasanth Mudusu |
| Position: | Owner |
| Contact Number: | 860-944-2802 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Park Street Family Dental clinic are as mentioned below.
| NPI Number: | 1518234079 |
| NPI Enumeration Date: | 28 Nov, 2011 |
| NPI Last Update On: | 28 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Street Family Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 010554 | Connecticut | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Park Street Family Dental 454 Park St, Hartford, Connecticut |
| Zip: | 06106-1525 |
| Phone Number: | 860-944-2802 |
Patients can reach Park Street Family Dental at
454 Park St, Hartford, Connecticut or can
call to book an appointment on 860-944-2802.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.