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

Roberts, Wallace & Associates PLLC

Organization General Practice Dentistry · NPI 1104203579

Roberts, Wallace & Associates PLLC is a General Practice Dentistry in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5069 University Pkwy # 11
Winston Salem, NC 27106-6083
Phone: (336) 714-5726
Fax: (336) 792-4202
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9846 (NC)

Record details

NPI number1104203579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Zwicky — Credentialing Manager · (480) 866-8811
Other names Triad Kids Dental
NPI enumeratedMay 5, 2015
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address5069 University Pkwy, 11, Winston Salem, NC 27106-6083

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