Provider Demographics
NPI:1518069962
Name:AMEKU, YOSHIHARU (DDS)
Entity Type:Individual
Prefix:
First Name:YOSHIHARU
Middle Name:
Last Name:AMEKU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 N COTNER BLVD
Mailing Address - Street 2:SUITE 230A
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505
Mailing Address - Country:US
Mailing Address - Phone:402-466-1333
Mailing Address - Fax:
Practice Address - Street 1:630 N COTNER BLVD
Practice Address - Street 2:SUITE 230A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505
Practice Address - Country:US
Practice Address - Phone:402-466-1333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5797122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist