IndividualActive
Jason Tupper, BDS
NPI 1457088965 · General Practice Dentistry · Edwardsville, IL
Provider details
- NPI number
- 1457088965
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- BDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2025011907 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Country Club Vw Ste 4
Edwardsville, IL 62025-3638
Phone: (618) 307-3267
Street-level locationGet directions
Mailing address
4101 Laclede Ave Unit 211
Saint Louis, MO 63108-2998
Additional practice locations (2)
- 1 Westbury Dr Ste 310Saint Charles, MO 63301-2560Phone: (636) 723-6071
- University of Tennessee Health Science Centre875 Union Ave Dunn Building,Memphis, TN 38103Phone: (901) 448-6468
Registry dates
- Enumerated
- 2022-08-04
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.