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 1104218007

Roberts, Wallace & Associates PLLC is a General Practice Dentistry in Greensboro, 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.

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Practice location Address checks out

510 Nicholas Rd Ste F
Greensboro, NC 27409-3404
Phone: (336) 387-9168
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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 number1104218007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Zwicky — Credentialing Manager · (480) 866-8811
Other names Triad Kids Dental
NPI enumeratedMarch 2, 2015
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address510 Nicholas Rd, F, Greensboro, NC 27409-3399

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