NPIMap

Organization Active NPI

Dream Team Family Dentistry and Oral Surgery Lebanon

  • Oral and Maxillofacial Surgery (Dentist)
  • Lebanon, TN
National Provider Identifier
1548053887
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY LEBANON
Practice address
1430 W Baddour Pkwy Ste B
Lebanon, TN 37087-2656
Phone
(615) 200-6093
Fax
(615) 552-0080
NPI assigned
May 28, 2025
Organization subpart
Yes
Parent organization
LEBANON FAMILY DENTISTRY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jamie Driscoll
Title
Manager
Phone
(615) 895-3232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1430 W Baddour Pkwy Ste B
Lebanon, TN 37087-2656

Mailing address

1430 W Baddour Pkwy Ste B
Lebanon, TN 37087-2656
Phone (615) 200-6093

Other names 2

  • Dream Team Family Dentistry and Oral Surgery Lebanon Doing business as
  • Dream Team Family Dentistry and Oral Surgery Murfreesboro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lebanon Family Dentistry LLC3 organizations share this tax ID, including this one
Part of
Lebanon Family Dentistry LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1548053887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 W BADDOUR PKWY STE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872656",
            "telephone_number": "615-200-6093",
            "fax_number": "615-552-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W BADDOUR PKWY STE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872656",
            "telephone_number": "615-200-6093",
            "fax_number": "615-552-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY LEBANON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEBANON FAMILY DENTISTRY LLC",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-895-3232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Team Family Dentistry and Oral Surgery Lebanon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dream Team Family Dentistry and Oral Surgery Murfreesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.