Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corbin Ross Clark

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1215671334

Corbin Ross Clark is an Oral and Maxillofacial Surgery (Dentist) in Nashville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

2111 Belcourt Ave Ste 201
Nashville, TN 37212-3540
Phone: (615) 322-2377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12063 (TN)

Record details

NPI number1215671334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address9671 Wiltshire Dr, Ooltewah, TN 37363-4885

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