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ROBERTS, WALLACE & ASSOCIATES PLLC
NPI 1104203579
Dentist - General Practice in Winston Salem, NC

Active since May 05, 2015
5069 UNIVERSITY PKWY # 11, WINSTON SALEM, NC 27106(336) 714-5726(336) 792-4202 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, May 10, 2024 (2 updates tracked since 2024).

About Roberts, Wallace & Associates Pllc NPPES

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

ROBERTS, WALLACE & ASSOCIATES PLLC (NPI 1104203579), doing business as Triad Kids Dental, is a healthcare organization registered as a general practice in Winston Salem, North Carolina and active in the NPI registry since May 2015. The organization lists Teresa Zwicky, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104203579
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROBERTS, WALLACE & ASSOCIATES PLLC
Location Address5069 UNIVERSITY PKWY # 11Winston Salem, NC 27106-6083
Mailing Address5069 University Pkwy, 11Winston Salem, NC 27106-6083 · (336) 714-5726 · Fax (336) 792-4202
Phone(336) 714-5726
Fax(336) 792-4202
Organization SubpartNo
Authorized OfficialTeresa ZwickyCredentialing Manager · (480) 866-8811
Enumeration DateMay 5, 2015
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1104203579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 9846
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5069 UNIVERSITY PKWY # 11, Winston Salem, NC 27106
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Other Names 1

Doing Business AsTriad Kids Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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 Roberts, Wallace & Associates PLLC's NPI number?

The NPI number for Roberts, Wallace & Associates PLLC is 1104203579. It was assigned to this organization in the NPPES registry on May 5, 2015. The provider is doing business as Triad Kids Dental.

Where is Roberts, Wallace & Associates PLLC located?

Roberts, Wallace & Associates PLLC is located at 5069 University Pkwy # 11, Winston Salem, NC 27106. The listed phone number is (336) 714-5726.

What is Roberts, Wallace & Associates PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Roberts, Wallace & Associates PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Roberts, Wallace & Associates PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roberts, Wallace & Associates PLLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.