# REGIONAL ORAL SURGERY CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235213869
- **Authorized official:** DR. ROBERT EDWIN BROOKSBANK D.D.S. (PRESIDENT)
- **Authorized official phone:** (931) 528-6252

## Contact information

- **Practice address:** 33 W 3RD ST, COOKEVILLE, TN 38501-2513
- **Practice address phone:** (931) 528-6252
- **Practice address fax:** (931) 372-8526
- **Mailing address:** 33 W 3RD ST, COOKEVILLE, TN 38501-2513
- **Mailing address phone:** (931) 528-6252
- **Mailing address fax:** (931) 372-8526

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 07/10/2013