Provider Demographics
NPI:1033902374
Name:DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY MURFREESBORO
Entity type:Organization
Organization Name:DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY MURFREESBORO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRISCOLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:675-895-3232
Mailing Address - Street 1:1535 W NORTHFIELD BLVD STE 10&11
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1427
Mailing Address - Country:US
Mailing Address - Phone:615-895-3232
Mailing Address - Fax:615-893-3224
Practice Address - Street 1:1535 W NORTHFIELD BLVD STE 10&11
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1427
Practice Address - Country:US
Practice Address - Phone:615-895-3232
Practice Address - Fax:615-893-3224
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEBANON FAMILY DENTISTRY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty