Dr Alyssa Marie Domico, DMD, MS - Dentist in Plymouth, MN

Dr Alyssa Marie Domico, DMD, MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Plymouth, Minnesota. Dr Alyssa Marie Domico is licensed to practice in Minnesota (license number D14939) and her current practice location is 2805 Campus Dr Ste 245, Plymouth, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 383-1788.

NPI number for Dr Alyssa Marie Domico is 1871162669 and her current mailing address is 2805 Campus Dr Ste 245, Plymouth, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871162669.

Contact Information

Dr Alyssa Marie Domico, DMD, MS
2805 Campus Dr Ste 245,
Plymouth, MN 55441-2678
(763) 383-1788
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Alyssa Marie Domico
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location2805 Campus Dr Ste 245, Plymouth, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871162669
  • Provider Enumeration Date: 06/24/2021
  • Last Update Date: 07/14/2024

Medical Identifiers

Medical identifiers for Dr Alyssa Marie Domico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871162669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D14939 (Minnesota)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics D14939 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alyssa Marie Domico is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Alyssa Marie Domico, DMD, MS
2805 Campus Dr Ste 245,
Plymouth, MN 55441-2678

Ph: (763) 383-1788
Dr Alyssa Marie Domico, DMD, MS
2805 Campus Dr Ste 245,
Plymouth, MN 55441-2678

Ph: (763) 383-1788

Reviews and Comments


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