# DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY LEBANON

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- **Entity:** Organization
- **Status:** 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:** 1548053887
- **Legal business name:** LEBANON FAMILY DENTISTRY LLC
- **Authorized official:** MR. JAMIE DRISCOLL (MANAGER)
- **Authorized official phone:** (615) 895-3232

## Contact information

- **Practice address:** 1430 W BADDOUR PKWY STE B, LEBANON, TN 37087-2656
- **Practice address phone:** (615) 200-6093
- **Practice address fax:** (615) 552-0080
- **Mailing address:** 1430 W BADDOUR PKWY STE B, LEBANON, TN 37087-2656
- **Mailing address phone:** (615) 200-6093
- **Mailing address fax:** (615) 552-0080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 05/28/2025