Roberts, Wallace & Associates PLLC
NPI 1104203579 · General Practice Dentistry · Winston Salem, NC
Roberts, Wallace & Associates PLLC is a General Practice Dentistry organization in Winston Salem, NC (NPI 1104203579).
Provider details
- NPI number
- 1104203579
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Teresa Zwicky, Credentialing Manager(480) 866-8811
- License
- 9846 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Triad Kids Dental
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Roberts, Wallace & Associates PLLC's NPI number?
- Roberts, Wallace & Associates PLLC's National Provider Identifier (NPI) is 1104203579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roberts, Wallace & Associates PLLC?
- Roberts, Wallace & Associates PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Roberts, Wallace & Associates PLLC located?
- Roberts, Wallace & Associates PLLC's practice location on file with NPPES is 5069 University Pkwy # 11, Winston Salem, NC 27106-6083.
- What is Roberts, Wallace & Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for Roberts, Wallace & Associates PLLC is (336) 714-5726.
- Who is the authorized official for Roberts, Wallace & Associates PLLC?
- The authorized official listed on Roberts, Wallace & Associates PLLC's NPPES record is Teresa Zwicky, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roberts, Wallace & Associates PLLC's NPI active?
- Yes — Roberts, Wallace & Associates PLLC's NPI (1104203579) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.