Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417330705 Individual Practitioner Male Practitioner

Dr. Jesse Ivey Edwards , DDS

Dentist • Groton, CT

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Edwards, DDS is a registered healthcare professional specializing in Dentist in Groton, CT. Practice services are available at 1 WAHOO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Wahoo Ave

Groton, CT 063492324

Telephone 8606943047
Associated Practice Facility / Clinic
🏢 Branch Medical Clinic Groton Facility NPI 1972564243

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Groton, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Groton, CT (912 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401418304

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MI 2901021535

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License CT 13704

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joshua Balter , NAVY IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003931163

NAVYIDC

William Murphy , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1033692835
Sarah Hirschkowitz

Registered Nurse - Case Management

NPI 1033932041
Corey Wilfon

Military Health Care Provider - Independent Duty Corpsman

NPI 1033989900
Matthew Cooper , APRN

Nurse Practitioner - Family

NPI 1043087224

Advanced Practice Registered Nurse

Dr. Matthew Miller , DDS

Dentist - Periodontics

NPI 1043207004

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2026

Dentist (License #2901021535 in MI)

📍
Updated Practice Location July 25, 2025

Registered at 1 WAHOO AVE, GROTON, CT 063492324 (Tel: 8606943047)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2025

Dentist (License #13704 in CT)

📍
Updated Practice Location February 02, 2023

Registered at 1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 235112803 (Tel: 7579538604)

📍
Updated Business Mailing Address February 02, 2023

Registered at 1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 235112803 (Tel: 7579538604)

👤
Provider Name / Credentials Updated February 02, 2023

Recorded as JESSE EDWARDS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2023

Dentist (License #2901021535 in MI)

NPI Profile Active July 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 04, 2015

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532711)

📍
Updated Business Mailing Address July 04, 2015

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579532711)

👤
Provider Name / Credentials Updated July 04, 2015

Recorded as JESSE EDWARDS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2015

Dentist (License #2901021535 in MI)

🟢
Initial NPI Registration & Enumeration July 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417330705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2015
Last Update: April 14, 2026
Sole Proprietor: No

Mailing Address

1647 Admiral Taussig Blvd

Norfolk, VA 235112803

Phone: 7579538604

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.