Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason C Primavera, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1831487370

Dr. Jason C Primavera, DDS is an Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1901 W Harrison St
Chicago, IL 60612-3714
Phone: (801) 358-8697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 018001817 (IL)

Record details

NPI number1831487370
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2011
Last updated in NPPESAugust 24, 2015
Mailing address6050 Brynwood Dr, Rockford, IL 61114-6579

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