Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

North Wickham Dentistry PLLC

Organization Dentist · NPI 1003729377

North Wickham Dentistry PLLC provides Dentist services in Melbourne, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4521 N Wickham Rd Ste 101
Melbourne, FL 32935-7108
Phone: (321) 255-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1003729377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Dirawi — Dentist · (585) 506-1818
NPI enumeratedSeptember 25, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026
Mailing address12919 Sunstone Ave Apt 8304, Orlando, FL 32832-6278

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