Individual provider · Type 1 NPI
Takanari Miyamoto, DDS
Periodontics · La Vista, NE
NPI number
1376730143
Active
Practice location
12110 Port Grace Blvd Ste 202
La Vista, NE 68128-3190
Fax (402) 614-7122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 6823 (NE) |
Periodontics: 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.
Another provider at this address
About NPI 1376730143
Takanari Miyamoto, DDS's National Provider Identifier is 1376730143, issued on Sep 26, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in La Vista, NE. The record was last updated on May 27, 2010.