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ROBERTS, WALLACE & ASSOCIATES PLLC
NPI 1104218007
Dentist - General Practice in Greensboro, NC

Active since March 02, 2015
510 NICHOLAS RD STE F, GREENSBORO, NC 27409(336) 387-9168 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1104218007), doing business as Triad Kids Dental, is a healthcare organization registered as a general practice in Greensboro, North Carolina and active in the NPI registry since March 2015. The organization lists Teresa Zwicky, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104218007
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROBERTS, WALLACE & ASSOCIATES PLLC
Location Address510 NICHOLAS RD STE FGreensboro, NC 27409-3404
Mailing Address510 Nicholas Rd, FGreensboro, NC 27409-3399
Phone(336) 387-9168
Organization SubpartNo
Authorized OfficialTeresa ZwickyCredentialing Manager · (480) 866-8811
Enumeration DateMarch 2, 2015
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1104218007 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.

510 NICHOLAS RD STE F, Greensboro, NC 27409
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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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

ROBERTS & LO PLLC
Dentist (Dentist Anesthesiologist)
510 NICHOLAS RD STE F
GREENSBORO, NC 27409
Guilford County (336) 387-9168
BRAXTON HENDERSON DMD
Dentist (Dentist Anesthesiologist)
510 NICHOLAS RD STE F
GREENSBORO, NC 27409
Guilford County (252) 213-8484
DR. CHAVALA MELITA HARRIS DDS
Dentist
510 NICHOLAS RD STE F
GREENSBORO, NC 27409
Guilford County (336) 387-9168
DR. KRISTY THI NGUYEN DDS
Dentist
510 NICHOLAS RD STE F
GREENSBORO, NC 27409
Guilford County (336) 387-9168
KIERRA DAGES DMD
Dentist
510 NICHOLAS RD STE F
GREENSBORO, NC 27409
Guilford County (336) 387-9168

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 1104218007. It was assigned to this organization in the NPPES registry on March 2, 2015. The provider is doing business as Triad Kids Dental.

Where is Roberts, Wallace & Associates PLLC located?

Roberts, Wallace & Associates PLLC is located at 510 Nicholas Rd Ste F, Greensboro, NC 27409. The listed phone number is (336) 387-9168.

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, 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 with the weekly NPPES data releases published by CMS.