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Individual

SPENCER ROARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1443
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.033438
IL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
12728
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12728
TN

Other

Enumeration date
03/23/2021
Last updated
01/30/2026
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