OrganizationActive
Eastern Connecticut Dermatology PC
NPI 1760604961 · Specialist · Groton, CT
Eastern Connecticut Dermatology PC is a Specialist organization in Groton, CT (NPI 1760604961).
Provider details
- NPI number
- 1760604961
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Diane Davidson, Owner(860) 445-8020
- License
- 025536 (CT)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
491 Gold Star Hwy
Suite 310
Groton, CT 06340-6226
Phone: (860) 445-8020
Fax: (860) 445-1665
Street-level locationGet directions
Mailing address
491 Gold Star Hwy
Groton, CT 06340-6226
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2013-11-25
Frequently asked questions
- What is Eastern Connecticut Dermatology PC's NPI number?
- Eastern Connecticut Dermatology PC's National Provider Identifier (NPI) is 1760604961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Connecticut Dermatology PC?
- Eastern Connecticut Dermatology PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Eastern Connecticut Dermatology PC located?
- Eastern Connecticut Dermatology PC's practice location on file with NPPES is 491 Gold Star Hwy, Groton, CT 06340-6226.
- What is Eastern Connecticut Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Eastern Connecticut Dermatology PC is (860) 445-8020.
- Who is the authorized official for Eastern Connecticut Dermatology PC?
- The authorized official listed on Eastern Connecticut Dermatology PC's NPPES record is Diane Davidson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Connecticut Dermatology PC's NPI active?
- Yes — Eastern Connecticut Dermatology PC's NPI (1760604961) is active in the NPPES registry as of the last update on 2013-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.