Healthcare Provider Details

I. General information

NPI: 1780284612
Provider Name (Legal Business Name): ROBERTS & ASSOCIATES - GREENSBORO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 N CHURCH ST
BURLINGTON NC
27217-2701
US

IV. Provider business mailing address

1135 N CHURCH ST
BURLINGTON NC
27217-2701
US

V. Phone/Fax

Practice location:
  • Phone: 336-395-1627
  • Fax: 336-450-1810
Mailing address:
  • Phone: 336-395-1627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERESA ZWICKY
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 480-866-8811