Individual provider · Type 1 NPI
Alyssa Marie Domico, DMD, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Plymouth, MN
Practice location
2805 Campus Dr Ste 245
Plymouth, MN 55441-2678
Other practice locations
- 675 Water St Ste 2, Excelsior, MN 55331-3072 · (952) 242-9200
- 7880 Main St N, Maple Grove, MN 55369-7081 · (763) 515-0011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D14939 (MN) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D14939 (MN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
4 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Plymouth
- Heather M. Carr, DDSOrthodontics and Dentofacial Orthopedics Dentistry Plymouth, MN NPI 1033263660
- Sarah TariqOrthodontics and Dentofacial Orthopedics Dentistry Plymouth, MN NPI 1528441565
- Stephen William Robinson Sr., DDS, MSDOrthodontics and Dentofacial Orthopedics Dentistry Plymouth, MN NPI 1669595955
- Rosemary Lelich, DMDOrthodontics and Dentofacial Orthopedics Dentistry Plymouth, MN NPI 1861809055
About NPI 1871162669
Alyssa Marie Domico, DMD, MS's National Provider Identifier is 1871162669, issued on Jun 24, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Plymouth, MN. The record was last updated on Jul 14, 2024.