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NPI · 1518234079 · NPPES-sourced

Park Street Family Dental

ActiveGeneral Practice Dentistry
NPI Number
1518234079
Type 2 · Organisation
Taxonomy Code
1223G0001X
Contact
(860) 944-2802
License CT · 010554
Last Updated
Enumerated
Primary practice addressCT · 06106-1525
454 Park StHartford, CT 06106-1525
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About this NPIWhat this record shows.

NPI 1518234079 is registered to Park Street Family Dental, a healthcare organisation classified as "General Practice Dentistry" and located at 454 Park St in Hartford, Connecticut. The organisation's authorised official is Krishnaprasanth Mudusu. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Park Street Family Dental accepts. To confirm in-network status with your specific health plan, contact Park Street Family Dental directly at (860) 944-2802.

Frequently asked

Yes. NPI 1518234079 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (860) 944-2802.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Park Street Family Dental is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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