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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTH WICKHAM DENTISTRY PLLC
NPI 1003729377
Dentist in Melbourne, FL

Active since September 25, 2026
4521 N WICKHAM RD STE 101, MELBOURNE, FL 32935(321) 255-2700 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About North Wickham Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH WICKHAM DENTISTRY PLLC (NPI 1003729377) is a healthcare organization registered as a dentist in Melbourne, Florida and active in the NPI registry since September 2026. The organization lists Sam Dirawi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1003729377
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameNORTH WICKHAM DENTISTRY PLLC
Location Address4521 N WICKHAM RD STE 101Melbourne, FL 32935-7108
Mailing Address12919 Sunstone Ave Apt 8304Orlando, FL 32832-6278
Phone(321) 255-2700
Organization SubpartNo
Authorized OfficialSam DirawiDentist · (585) 506-1818
Enumeration DateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1003729377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4521 N WICKHAM RD STE 101, Melbourne, FL 32935
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THEODORE GEORGE SCHROPP DDS
Dentist (General Practice)
4521 N WICKHAM RD STE 101
MELBOURNE, FL 32935
Brevard County (321) 255-2700
DR. THEODORE G SCHROPP
Clinic/Center (Dental)
4521 N WICKHAM RD STE 101
MELBOURNE, FL 32935
Brevard County (321) 255-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Wickham Dentistry PLLC's NPI number?

The NPI number for North Wickham Dentistry PLLC is 1003729377. It was assigned to this organization in the NPPES registry on September 25, 2026.

Where is North Wickham Dentistry PLLC located?

North Wickham Dentistry PLLC is located at 4521 N Wickham Rd Ste 101, Melbourne, FL 32935. The listed phone number is (321) 255-2700.

What is North Wickham Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for North Wickham Dentistry PLLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.