DR. Jason John Tupper, BDS
NPI #1457088965 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1457088965
- Entity Type
- Individual
- Name
- DR. Jason John Tupper, BDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- BDS
- Enumeration Date
- Aug 4, 2022
- Last Updated
- Oct 22, 2025
Practice Location
- Address
- 600 COUNTRY CLUB VW STE 4
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3638
- Phone
- (618) 307-3267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Prosthodontics — Prosthodontics |
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