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

Dr. Nathan Lucas Bomm, DDS

Individual provider Dentist · NPI 1376257881

Dr. Nathan Lucas Bomm, DDS is a Dentist in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3405 Promenade Ave Ste 300
Eagan, MN 55123-4420
Phone: (651) 236-7458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14815 (MN)

Record details

NPI number1376257881
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address2813 4th St Se Unit 620, Minneapolis, MN 55414-3013

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