Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALYSSA MARIE DOMICO, DMD, MS
ActiveDR. ALYSSA MARIE DOMICO, DMD, MS is a Orthodontics healthcare provider located in PLYMOUTH, Minnesota. NPI 1871162669 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PLYMOUTH, MN
Registration Details
- NPI Number
- 1871162669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2021 (5.1032157843035 yrs)
- Last Updated
- Jul 14, 2024
- Licenses
-
D14939 (MN)D14939 (MN)
Practice Information
- Address
-
2805 CAMPUS DR STE 245PLYMOUTH, MN, 554412678Browse MN providers · Browse ZIP 55441
- Phone
- 7633831788
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in PLYMOUTH, MN
| Name | Credential | NPI |
|---|---|---|
| DR. HEATHER M. CARR | DDS | 1033263660 |
| DR. STEPHEN WILLIAM ROBINSON SR. | DDS,MSD | 1669595955 |
| DR. ROSEMARY LELICH | DMD | 1861809055 |
| DR. SARAH TARIQ | — | 1528441565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.