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JESSICA JILL WATERBURY DDS
NPI 1407263247
Dentist in Rochester, MN

Active since July 14, 2014Opted out of Medicare · through Nov 9, 2027
1926 COLLEGEVIEW RD E, HC 116, ROCHESTER, MN 55904(507) 258-4046 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Jill Waterbury Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA JILL WATERBURY DDS (NPI 1407263247) is an individual dentist in Rochester, Minnesota, licensed in Minnesota (D13437) and active in the NPI registry since July 2014. She has opted out of Medicare through November 9, 2027.

NPPES Registry Identity

NPI1407263247
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJESSICA JILL WATERBURYCredential: DDS
Location Address1926 COLLEGEVIEW RD E, HC 116Rochester, MN 55904-8201
Mailing Address1926 Collegeview Rd E, Hc 116Rochester, MN 55904-8201 · (507) 258-4046
Phone(507) 258-4046
Sole ProprietorNo
Enumeration DateJuly 14, 2014
Last NPPES UpdateMarch 2, 2015
✔ NPI 1407263247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13437
Definition
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.
1926 COLLEGEVIEW RD E, Rochester, MN 55904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Jill Waterbury Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 9, 2021 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2021
Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHIRLEY MARSHA NELSON CFNP
Nurse Practitioner (Family)
1926 COLLEGEVIEW RD E
ROCHESTER, MN 55904
Olmsted County (507) 529-0503
DR. NICOLE MARIE NAPIER D.D.S.
Dentist (General Practice)
1926 COLLEGEVIEW RD E, HC #116
ROCHESTER, MN 55904
Olmsted County (507) 258-4046
COMMUNITY DENTAL CARE INC
Dentist (General Practice)
1926 COLLEGEVIEW RD E, ROOM HC 116
ROCHESTER, MN 55904
Olmsted County (651) 925-8400
COMMUNITY DENTAL CARE
Dentist (General Practice)
1926 COLLEGEVIEW RD E, HC #116
ROCHESTER, MN 55904
Olmsted County (507) 258-4046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Waterbury's NPI number?

The NPI number for Jessica Waterbury is 1407263247. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Jessica Waterbury located?

Jessica Waterbury practices at 1926 Collegeview Rd E Hc 116, Rochester, MN 55904. The listed phone number is (507) 258-4046.

What is Jessica Waterbury's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Waterbury enrolled in Medicare?

No. Jessica Waterbury has opted out of Medicare through November 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Waterbury accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jessica Waterbury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Waterbury was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.