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

Dr. Jason John Tupper, BDS

Individual provider General Practice Dentistry · NPI 1457088965

Dr. Jason John Tupper, BDS is a General Practice Dentistry in Edwardsville, Illinois. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2022
Specialties on file
2

Practice location Address checks out

600 Country Club Vw Ste 4
Edwardsville, IL 62025-3638
Phone: (618) 307-3267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Westbury Dr Ste 310, Saint Charles, MO 63301-2560 — (636) 723-6071
  • University Of Tennessee Health Science Centre, Memphis, TN 38103 — (901) 448-6468

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2025011907 (MO)
Prosthodontics Taxonomy 1223P0700X · Licence 019.036573 (IL)

Record details

NPI number1457088965
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address4101 Laclede Ave Unit 211, Saint Louis, MO 63108-2998

Other providers in Edwardsville