Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alyssa Marie Domico, DMD, MS

Individual provider Dentist · NPI 1871162669

Dr. Alyssa Marie Domico, DMD, MS is a Dentist in Plymouth, Minnesota. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2805 Campus Dr Ste 245
Plymouth, MN 55441-2678
Phone: (763) 383-1788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D14939 (MN)
Dentist Taxonomy 122300000X · Licence D14939 (MN)

Record details

NPI number1871162669
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MS
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESJuly 14, 2024
Certification dateJuly 14, 2024

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