Individual provider · Type 1 NPI
Jason John Tupper, BDS
General Practice Dentistry · Edwardsville, IL
NPI number
1457088965
Active · reactivated Nov 28, 2023
Practice location
600 Country Club Vw Ste 4
Edwardsville, IL 62025-3638
Mailing address
4101 Laclede Ave Unit 211
St. Louis, MO 63108-2998
Other practice locations
- University Of Tennessee Health Science Centre, 875 Union Ave Dunn Building,, Memphis, TN 38103 · (901) 448-6468
- 1 Westbury Dr Ste 310, St. Charles, MO 63301-2560 · (636) 723-6071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2025011907 (MO) |
| Prosthodontics | 1223P0700X | 019.036573 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Edwardsville
- Walter B. Osika, DMDGeneral Practice Dentistry Edwardsville, IL NPI 1114146842
- Michael Hudson, DMDGeneral Practice Dentistry Edwardsville, IL NPI 1114598208
- Brent Douglas Wohlford, DMDGeneral Practice Dentistry Edwardsville, IL NPI 1245246818
- Danielle R. Csaszar, DMDGeneral Practice Dentistry Edwardsville, IL NPI 1386702785
- Brian Shin, DDSGeneral Practice Dentistry Edwardsville, IL NPI 1427182658
- David W. Hyten, DMDGeneral Practice Dentistry Edwardsville, IL NPI 1558416511
- Sharon E. Hanne, DMDGeneral Practice Dentistry Edwardsville, IL NPI 1649317702
- Dale Glen Claussen, DMDGeneral Practice Dentistry Edwardsville, IL NPI 1780687293
About NPI 1457088965
Jason John Tupper, BDS's National Provider Identifier is 1457088965, issued on Aug 4, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Edwardsville, IL. The record was last updated on Oct 22, 2025.