North Wickham Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NORTH WICKHAM DENTISTRY PLLC

Practice address

4521 N Wickham Rd Ste 101
Melbourne, FL 32935-7108

Phone

(321) 255-2700

NPI assigned

Sep 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Dirawi, DMD

Title

Dentist

Phone

(585) 506-1818

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1003729377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 SUNSTONE AVE APT 8304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 N WICKHAM RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357108",
            "telephone_number": "321-255-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WICKHAM DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "DIRAWI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "585-506-1818",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nord
• Douglas James Noren, R.PH.
• Zelda Norfleet, PHARMD
• Susan Norris, PTA
• Cassie Norsworthy
• Jennifer Lynn North
• Carlette Norwood-Williams, PHARMD, CPH
• Brittany R. Notman, PA-C
• Rebecca Cissell Novo, MD
• Robert Frank Novo, D.O.

• Dentist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.