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Active NPI 1376257881 Individual Practitioner Male Practitioner

Dr. Nathan Lucas Bomm , DDS

Dentist • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Bomm, DDS is a registered healthcare professional specializing in Dentist in Eagan, MN. Practice services are available at 3405 PROMENADE AVE STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3405 Promenade Ave Ste 300

Eagan, MN 551234420

Telephone 6512367458
Associated Practice Facility / Clinic
🏢 Eagan Smiles Dentistry, Pc Facility NPI 1184093551

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
34 Specialists

Practicing in Eagan, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D14815

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Minnesota Board Of Dentistry
D14815 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jacob Kerkering , DDS

Dentist - General Practice

NPI 1033720602

Doctor of Dental Surgery

Dr. Lynh Tran , DMD

Dentist - General Practice

NPI 1174408967

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 09, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2023

Registered at 3405 PROMENADE AVE STE 300, EAGAN, MN 551234420 (Tel: 6512367458)

📍
Updated Business Mailing Address January 09, 2023

Registered at 2813 4TH ST SE UNIT 620, MINNEAPOLIS, MN 554143013 (Tel: 2622257291)

👤
Provider Name / Credentials Updated January 09, 2023

Recorded as NATHAN BOMM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Dentist (License #D14815 in MN)

🟢
Initial NPI Registration & Enumeration January 09, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376257881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2023
Last Update: January 09, 2023
Sole Proprietor: No

Mailing Address

2813 4th St Se Unit 620

Minneapolis, MN 554143013

Phone: 2622257291

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.