Dr. Takanari Miyamoto is a La Vista, Nebraska based Periodontics who is specialized in
Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Takanari Miyamoto is
6823 for Periodontology in Nebraska. His current practice location is
12110 Port Grace Blvd Ste 202, La Vista. Patients can reach him at
402-614-7022.
Dr. Takanari Miyamoto is specialized in that branch 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.
Complete Profile:
Dr. Takanari Miyamoto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Takanari Miyamoto |
| Specialization: | Periodontics |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12110 Port Grace Blvd Ste 202, La Vista,
Nebraska, 68128-3190 |
| Phone: | 402-614-7022 |
| Fax: | 402-614-7122 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1376730143 |
| NPI Enumeration Date: | 26 Sep, 2007 |
| NPI Last Update On: | 27 May, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Takanari Miyamoto are as mentioned below.
| License Number | Specialization | State | Status | |
| 6823 | Periodontology | Nebraska | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12110 Port Grace Blvd Ste 202,
La Vista, Nebraska |
| Zip: | 68128-3190 |
Patients can reach Dr. Takanari Miyamoto at
12110 Port Grace Blvd Ste 202, La Vista, Nebraska or can
call to book an appointment on 402-614-7022.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.