ROBERTS, WALLACE & ASSOCIATES PLLC
NPI 1578054557
Dentist - General Practice in Greensboro, NC

Active since May 24, 2018
2643 RANDLEMAN RD, GREENSBORO, NC 27406(336) 544-2758(910) 338-3031 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, May 10, 2024, May 24, 2018 (3 updates tracked since 2018).

About Roberts, Wallace & Associates Pllc NPPES

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

ROBERTS, WALLACE & ASSOCIATES PLLC (NPI 1578054557), 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 May 2018. The organization lists Teresa Zwicky, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1578054557
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROBERTS, WALLACE & ASSOCIATES PLLC
Location Address2643 RANDLEMAN RDGreensboro, NC 27406-5153
Mailing Address2643 Randleman RdGreensboro, NC 27406-5153 · (480) 866-8811
Fax(910) 338-3031
Organization SubpartNo
Authorized OfficialTeresa ZwickyCredentialing Manager · (480) 866-8811
Enumeration DateMay 24, 2018
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1578054557 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.
2643 RANDLEMAN RD, Greensboro, NC 27406

Other Names 1

Doing Business AsTriad Kids Dental

Other Identifiers 1

Medicaid1689746232NC

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

Other Providers at the Same Location NPPES 11

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

Dentist (General Practice)
2643 RANDLEMAN RD
GREENSBORO, NC 27406
Dentist (General Practice)
2643 RANDLEMAN RD
GREENSBORO, NC 27406
Dentist (Dentist Anesthesiologist)
2643 RANDLEMAN RD
GREENSBORO, NC 27406
Dentist (Dentist Anesthesiologist)
2643 RANDLEMAN RD
GREENSBORO, NC 27406
Dentist (Pediatric Dentistry)
2643 RANDLEMAN RD
GREENSBORO, NC 27406
Dentist
2643 RANDLEMAN RD
GREENSBORO, NC 27406
Dentist (General Practice)
2643 RANDLEMAN RD
GREENSBORO, NC 27406
Dentist (Pediatric Dentistry)
2643 RANDLEMAN RD
GREENSBORO, NC 27406

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 1578054557. It was assigned to this organization in the NPPES registry on May 24, 2018. The provider is doing business as Triad Kids Dental.

Where is Roberts, Wallace & Associates PLLC located?

Roberts, Wallace & Associates PLLC is located at 2643 Randleman Rd, Greensboro, NC 27406. The listed phone number is (336) 544-2758.

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 12 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.