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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.