SearchIllinoisGeneral Practice Dentistry

Jason Tupper, BDS

NPI 1457088965 · on the registry since 2022 · sole proprietor

Practice

Address
600 Country Club Vw Ste 4
Edwardsville, IL 62025
Phone
(618) 307-3267
Clinicians at this address
2

Additional practice sites

  • University Of Tennessee Health Science Centre, Memphis, TN
  • 1 Westbury Dr Ste 310, Saint Charles, MO

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Prosthodontics
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois