Individual
JASON RUPPRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-2208
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-2208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1512
MN
1223G0001X
General Practice Dentistry
D15112
MN
Other
Enumeration date
06/26/2024
Last updated
01/14/2026
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