location
search-icon
person
Dr. Takanari Miyamoto, DDS
Periodontist in La Vista, Nebraska
NPI 1376730143

Takanari Miyamoto is a Periodontist based in La Vista, NE and is specialized in Periodontics. Takanari Miyamoto practices in La Vista, NE and has the professional credentials of DDS. The NPI Number for Takanari Miyamoto is 1376730143 and holds a License No. 6823 (Nebraska).

The current practice location address for Takanari Miyamoto is 12110 Port Grace Blvd Ste 202, La Vista, NE and can be reached out via phone at 402-614-7022 and via fax at 402-614-7122.

Location: 12110 Port Grace Blvd Ste 202, La Vista, NE, 68128-3190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376730143
Provider Name
Takanari Miyamoto
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12110 Port Grace Blvd Ste 202, La Vista, NE, 68128-3190
Phone Number
402-614-7022
Fax Number
402-614-7122
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12110 Port Grace Blvd Ste 202
City
La Vista
State
Nebraska
Zip
68128-3190
Phone Number
402-614-7022
Fax Number
402-614-7122
person
Provider Business Mailing Address Details
Address
12110 Port Grace Blvd Ste 202
City
La Vista
State
Nebraska
Zip
68128-3190
Phone Number
402-614-7022
Fax Number
402-614-7122
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
6823 (Nebraska)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.