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NPI Code Detail

MEDICARE: ROBERTS & ASSOCIATES - GREENSBORO PLLC

MEDICARE: ROBERTS & ASSOCIATES - GREENSBORO PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1265907612
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERTS & ASSOCIATES - GREENSBORO PLLC
Provider Business Mailing Address
First Line : 5085 UNIVERSITY PKWY
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-6085
Country : US
Telephone Number : 336-714-5726
Fax Number :
Provider Business Practice Location Address
First Line : 5085 UNIVERSITY PKWY
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-6085
Country : US
Telephone Number : 336-714-5726
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : TERESA ZWICKY
Credential :
Telephone Number : 480-866-8811
Provider Enumeration Date : 10/11/2018
Last Update Date : 08/15/2025

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