Organization · Type 2 NPI

Roberts, Wallace & Associates PLLC

General Practice Dentistry · Winston Salem, NC

NPI number 1104203579 Active

Practice location

5069 University Pkwy # 11
Winston Salem, NC 27106-6083

Fax (336) 792-4202

Mailing address

5069 University Pkwy, 11
Winston Salem, NC 27106-6083

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9846 (NC)

General Practice Dentistry: 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.

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About NPI 1104203579

Roberts, Wallace & Associates PLLC's National Provider Identifier is 1104203579, issued on May 5, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Winston Salem, NC. The record was last updated on Aug 15, 2025.