Individual
JASON ANDREW TEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1642 E SPANISH FORK PKWY STE 101, SPANISH FORK, UT 84660-1496
(801) 798-9500
Mailing address
2191 S MCCLELLAND ST APT 548, SALT LAKE CITY, UT 84106-4455
(385) 831-1131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1002257-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13788895-9924
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D14380
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
13788895-9924
UT
Other
Enumeration date
03/19/2019
Last updated
04/16/2026
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