Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON JOHN TUPPER, BDS
Deactivated Sole ProprietorDR. JASON JOHN TUPPER, BDS is a General Dentistry healthcare provider located in EDWARDSVILLE, Illinois. NPI 1457088965 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · EDWARDSVILLE, IL
This NPI has been deactivated.
The record was deactivated on March 13, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1457088965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2022 (0.60547945205479 yrs)
- Last Updated
- Oct 22, 2025
- Deactivated
- Mar 13, 2023
- Licenses
-
2025011907 (MO)019.036573 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 COUNTRY CLUB VW STE 4EDWARDSVILLE, IL, 620253638Browse IL providers · Browse ZIP 62025
- Phone
- 6183073267
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- Pediatric Dentistry
Other General Dentistry Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DALE GLEN CLAUSSEN | DMD | 1780687293 |
| BRENT DOUGLAS WOHLFORD | D.M.D. | 1245246818 |
| DR. DANIELLE R CSASZAR | DMD | 1386702785 |
| DR. GARY MICHAEL FISCHER | DMD | 1801952403 |
| DR. DAVID W HYTEN | DMD | 1558416511 |
| DR. SHARON E HANNE | DMD | 1649317702 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.