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General NPI Number Information
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NPI Number | 1033902374
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Entity Type | Organization
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Legal Business Name | DREAM TEAM FAMILY DENTISTRY AND ORAL SURGERY MURFREESBORO
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1535 W NORTHFIELD BLVD STE 10&11
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City | MURFREESBORO
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State | TN
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Zip | 37129-1427
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Country | US
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Telephone | 615-895-3232
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Fax | 615-893-3224
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Provider Business Mailing Address
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Address Line | 1535 W NORTHFIELD BLVD STE 10&11
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City | MURFREESBORO
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State | TN
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Zip | 37129-1427
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Country | US
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Telephone | 615-895-3232
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Fax | 615-893-3224
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Authorized Official
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Title or Position | MANAGER
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Name | JAMIE DRISCOLL
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Credential |
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Telephone | 675-895-3232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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