Aaron Brooksbank
Dentist in Cookeville, TN. Individual provider (NPI-1).
NPI number1083242341
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1083242341
- Entity type
- Individual (NPI-1)
- Name
- Aaron Brooksbank
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0000011644 | TN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
233 N Peachtree AveCookeville, TN 38501-2548
Phone 931-303-0004
Mailing address
530 S Wakara WaySalt Lake City, UT 84108-1213
Phone 801-587-2162
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