Bernard L Bomberg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7662 Issued in MN

Practice address

604 Snelling Ave S
Saint Paul, MN 55116-1528

Phone

(651) 699-5600

Fax

(651) 699-1966

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Snelling Avenue Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1245416403
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811956253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 CHARLES AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042227",
            "telephone_number": "651-645-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161528",
            "telephone_number": "651-699-5600",
            "fax_number": "651-699-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBERG",
        "first_name": "BERNARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Boller, M.D.
• Susan J Bollinger-Brown, MSSW, LICSW, LCSW-C
• Corinne E Bolser, CRNA
• Jeffrey W. Bolser, RN
• Connie Lou Bingel Bombenger, LADC
• Bond Psychotherapy, LLC
• Abby Jean Bongers
• David Warren Bonham, MD
• Leah Louise Bonine
• Ivy Bonneville

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.