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Organization
DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY LEBANON
Active
Organization
DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY LEBANON
Active
Parent organization
LEBANON FAMILY DENTISTRY LLC
Other names
Dream Team Family Dentistry and Oral Surgery Lebanon, Dream Team Family Dentistry and Oral Surgery Murfreesboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEBANON FAMILY DENTISTRY LLC
Authorized official
MR. JAMIE DRISCOLL (MANAGER)
(615) 895-3232
Entity
Organization
Contact information
Practice address
1430 W BADDOUR PKWY STE B, LEBANON, TN 37087-2656
(615) 200-6093
(615) 552-0080
Mailing address
1430 W BADDOUR PKWY STE B, LEBANON, TN 37087-2656
(615) 200-6093
(615) 552-0080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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