| Dr Takanari Miyamoto, DDS | |
|
12110 Port Grace Blvd Ste 202, La Vista, NE 68128-3190 | |
| (402) 614-7022 | |
| (402) 614-7122 |
| Full Name | Dr Takanari Miyamoto |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 12110 Port Grace Blvd Ste 202, La Vista, Nebraska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376730143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6823 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Takanari Miyamoto, DDS 12110 Port Grace Blvd Ste 202, La Vista, NE 68128-3190 Ph: () - | Dr Takanari Miyamoto, DDS 12110 Port Grace Blvd Ste 202, La Vista, NE 68128-3190 Ph: (402) 614-7022 |
Dr. Keenan Fischman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8050 S 84th St, La Vista, NE 68128 Phone: 402-331-1695 | |
Dr. Ariel Hough, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12221 W Giles Rd, La Vista, NE 68128 Phone: 402-339-6078 | |
Dr. Mark C Frill, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10732 Virginia Plz, La Vista, NE 68128 Phone: 402-991-7980 Fax: 402-509-1578 | |
Dr. Kenny Farivari, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8041 S 83rd Ave, La Vista, NE 68128 Phone: 402-884-1174 | |
Dr. Isaac Westphal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8041 S 83rd Ave, La Vista, NE 68128 Phone: 402-884-1174 | |
Dr. Gregory C. Weeder, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9825 Giles Rd # Ab, La Vista, NE 68128 Phone: 402-932-1177 |