DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NATHAN LUCAS BOMM, DDS

Active

DR. NATHAN LUCAS BOMM, DDS is a Dentist healthcare provider located in EAGAN, Minnesota. NPI 1376257881 is currently active in the NPPES registry. Verify at CMS.

Dentist · EAGAN, MN

Registration Details

NPI Number
1376257881
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2023 (3.5646361484069 yrs)
Last Updated
Jan 9, 2023
License
D14815 (MN)

Practice Information

Address
3405 PROMENADE AVE STE 300
EAGAN, MN, 551234420
Browse MN providers · Browse ZIP 55123
Phone
6512367458
Primary Specialty
Dentist
122300000X

Other Dentist Providers in EAGAN, MN

Name Credential NPI
DR. THOMAS ELLIS HOOVER D.D.S. 1952376568
DR. ELIZABETH RYDELL DDS 1942266432
DR. GLENN A PERKINS DDS 1942391735
DR. M.BASHAR AHMEDO DDS 1417043316
DR. ANGELA K HILO DDS 1770656415
DOUGLAS MARTIN BAUER DDS 1013081355
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.