Jason John Tupper , BDS
Dentist - General Practice • Edwardsville, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jason Tupper has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jason Tupper, BDS was a registered Dentist - General Practice practicing in Edwardsville, IL. Throughout an active medical career spanning 1 years, Jason Tupper provided care at the practice location at 600 COUNTRY CLUB VW STE 4 until profile deactivation on 2023-03-13.
Practice Location & Contact Primary Location
600 Country Club Vw Ste 4
Edwardsville, IL 620253638
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Edwardsville, IL
Practicing in Edwardsville, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-10-22NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 1223P0700X
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Secondary Practice Locations
University Of Tennessee Health Science Centre, 875 Union Ave Dunn Building,
Memphis, TN 38103
Phone: 9014486468
1 Westbury Dr Ste 310
Saint Charles, MO 633012560
Phone: 6367236071
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Prosthodontics
Doctor of Dental Medicine, Master of Science
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 600 COUNTRY CLUB VW STE 4, EDWARDSVILLE, IL 620253638 (Tel: 6183073267)
Registered at 4101 LACLEDE AVE UNIT 211, SAINT LOUIS, MO 631082998
Dentist (License #2025011907 in MO)
Registered at UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTRE, 875 UNION AVE DUNN BUILDING,, MEMPHIS, TN 38103 (Tel: 9014486468)
Registered at 395 SOUTH HIGHLAND STREET, MEMPHIS, TN 38111
Recorded as JASON TUPPER, BDS
Student in an Organized Health Care Education/Training Program
Record deactivated on March 13, 2023
NPI status registered as active in NPPES database
Registered at UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTRE, 875 UNION AVE DUNN BUILDING,, MEMPHIS, TN 38103 (Tel: 9014486468)
Registered at 395 SOUTH HIGHLAND STREET, MEMPHIS, TN 38111
Recorded as JASON TUPPER, BDS
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4101 Laclede Ave Unit 211
Saint Louis, MO 631082998
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