Jesse Ivey Edwards III, DDS
NPI 1417330705ActiveIndividual· Dentist· Groton, CT
Dentist (DDS) in Groton, Connecticut, licensed in VA, MI and CT, with an NPI issued in July 2015. Part D covered 96 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1417330705 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 4, 2015 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 0401418304 | VA |
| Dentist | 122300000X | 2901021535 | MI |
| Dentist | 122300000X | 13704 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 96 · 96 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $299.74 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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