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

Spencer Roark, DDS

Individual provider Dentist · NPI 1023694460

Spencer Roark, DDS is a Pathology in Nashville, Tennessee. Graduated from Louisiana State University School of Dentistry in 2021, 5 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
5
Trained at
Louisiana State University School of Dentistry
Licensed in
IL, TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-1443
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 — (773) 834-7708

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 12728 (TN)
Dentist Taxonomy 122300000X · Licence 019.033438 (IL)

Record details

NPI number1023694460
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2021 (5 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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