Individual provider · Type 1 NPI

Jesse Ivey Edwards Iii, DDS

Dentist · Groton, CT

NPI number 1417330705 Active

Practice location

1 Wahoo Ave
Groton, CT 06349-2324

Call (860) 694-3047 Map

Mailing address

1647 Admiral Taussig Blvd
Norfolk, VA 23511-2803

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901021535 (MI)
Dentist Primary 122300000X0401418304 (VA)
Dentist 122300000X13704 (CT)

Dentist: 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 requiremen…

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About NPI 1417330705

Jesse Ivey Edwards Iii, DDS's National Provider Identifier is 1417330705, issued on Jul 4, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Groton, CT. The record was last updated on Apr 14, 2026.