David R Edelson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

006399 Issued in CT

Practice address

92 East St
Plainville, CT 06062-2302

Phone

(860) 747-1004

Fax

(860) 793-2219

NPI assigned

Aug 11, 2005

Reactivated

May 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Irving M Edelson DDS and David R Edelson DMD PC

  • Dentist
  • Plainville, CT
  • NPI 1275806481
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487656377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622302",
            "telephone_number": "860-747-1004",
            "fax_number": "860-793-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622302",
            "telephone_number": "860-747-1004",
            "fax_number": "860-793-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSON",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "006399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Dwyer
• Kalilah Dyer
• Andrew Jason Dzierlatka, PHARM.D.
• Kari Echevarria, LMSW
• Catalina Echeverry
• Olayinka Edwards, M.D.
• Chasity Ellis
• Lisa Ellison, MSW
• Elizabeth Anne Ellsworth, MS, BCBA
• Terren M Emery, LMSW

• General Practice Dentistry in Plainville, CT
• Providers in Plainville, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.