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Dr. Jason C Lacourse , DMD

Dentist - General Practice β€’ Fort Eustis, VA

Active NPI 1134403009 Individual Practitioner Male Practitioner
Practice location in NPPES

669 Monroe Ave
Fort Eustis, VA 236045005

Call 7573148017 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

669 Monroe Ave

Fort Eustis, VA 236045005

Telephone 7573148017

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Eustis and Virginia

17 active clinicians are listed under Dentist - General Practice with a practice address in Fort Eustis, VA (3,366 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Eustis

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES UT 7735000-9921

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 10, 2026

Registered at 669 MONROE AVE, FORT EUSTIS, VA 236045005 (Tel: 7573148017)

πŸ“
Updated Business Mailing Address July 10, 2026

Registered at 669 MONROE AVE, FORT EUSTIS, VA 236045005 (Tel: 7573148017)

πŸ“
Updated Practice Location August 13, 2020

Registered at 2441 21ST ST, FORT CAMPBELL, KY 422235582 (Tel: 2704126027)

πŸ“
Updated Business Mailing Address August 13, 2020

Registered at 2441 21ST ST, FORT CAMPBELL, KY 422235582 (Tel: 2704126027)

βœ…
NPI Profile Active April 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 07, 2014

Registered at 2601 C AVE, FORT LEE, VA 238011717 (Tel: 7574227077)

πŸ“
Business Mailing Address (Initial Record) April 07, 2014

Registered at 577 STERNBERG AVE, FORT EUSTIS, VA 236041526 (Tel: 7573147980)

πŸ‘€
Provider Name / Credentials (Initial Record) April 07, 2014

Recorded as JASON LACOURSE, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2014

Dentist (license number reported to NPPES: UT 7735000-9921)

🟒
Initial NPI Registration & Enumeration October 10, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134403009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2011
Last Update: July 10, 2026
Sole Proprietor: Yes

Mailing Address

669 Monroe Ave

Fort Eustis, VA 236045005

Phone: 7573148017

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.