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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CORBIN ROSS CLARK
NPI 1215671334
Dentist - Oral and Maxillofacial Surgery in Nashville, TN

Active since April 25, 2022
2111 BELCOURT AVE STE 201, NASHVILLE, TN 37212(615) 322-2377 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2026, Apr 25, 2022 (2 updates tracked since 2022).

About Corbin Ross Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORBIN ROSS CLARK (NPI 1215671334) is an individual oral and maxillofacial surgery provider in Nashville, Tennessee, licensed in Tennessee (12063) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1215671334
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameCORBIN ROSS CLARK
Location Address2111 BELCOURT AVE STE 201Nashville, TN 37212-3540
Mailing Address9671 Wiltshire DrOoltewah, TN 37363-4885 · (209) 769-5473
Phone(615) 322-2377
Sole ProprietorNo
Enumeration DateApril 25, 2022
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1215671334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · 12063
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2111 BELCOURT AVE STE 201, Nashville, TN 37212
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON HOCKADAY DMD
Student in an Organized Health Care Education/Training Program
2111 BELCOURT AVE STE 201
NASHVILLE, TN 37212
Davidson County (615) 343-9404
DOMINIC REESE MUCCIO DMD
Student in an Organized Health Care Education/Training Program
2111 BELCOURT AVE STE 201
NASHVILLE, TN 37212
Davidson County (615) 322-2377
TYLER ERHARDT RETTKE DDS
Student in an Organized Health Care Education/Training Program
2111 BELCOURT AVE STE 201
NASHVILLE, TN 37212
Davidson County (615) 322-2377
CHRISTOPHER HIEU-THANH NGUYEN DDS
Dentist
2111 BELCOURT AVE STE 201
NASHVILLE, TN 37212
Davidson County (615) 322-2377
GARRETT WENCEL DDS
Student in an Organized Health Care Education/Training Program
2111 BELCOURT AVE STE 201
NASHVILLE, TN 37212
Davidson County (615) 343-9404
ALEX TAVASOLI MS, DMD
Dentist (Oral and Maxillofacial Surgery)
2111 BELCOURT AVE STE 201
NASHVILLE, TN 37212
Davidson County (615) 322-2377
KRISTIN MICHAELA PAISLEY NP
Nurse Practitioner (Adult Health)
2111 BELCOURT AVE STE 201
NASHVILLE, TN 37212
Davidson County (615) 322-2377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corbin Clark's NPI number?

The NPI number for Corbin Clark is 1215671334. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Corbin Clark located?

Corbin Clark practices at 2111 Belcourt Ave Ste 201, Nashville, TN 37212. The listed phone number is (615) 322-2377.

What is Corbin Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Corbin Clark was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.