Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STAR CLINIC LLC
NPI 1790058741
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since February 21, 2012
8001 E 10TH ST, INDIANAPOLIS, IN 46219(317) 897-5787(317) 895-8511 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Star Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR CLINIC LLC (NPI 1790058741) is a healthcare organization registered as an oral and maxillofacial surgery in Indianapolis, Indiana and active in the NPI registry since February 2012. The organization lists Esther Russtom Ghebremichael, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1790058741
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSTAR CLINIC LLC
Location Address8001 E 10TH STIndianapolis, IN 46219-5240
Mailing Address8001 E 10th StIndianapolis, IN 46219-5240 · (317) 897-5787 · Fax (317) 895-8511
Fax(317) 895-8511
Organization SubpartNo
Authorized OfficialEsther Russtom GhebremichaelOwner/dentist · (317) 243-1111
Enumeration DateFebruary 21, 2012
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1790058741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 12011343A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
8001 E 10TH ST, Indianapolis, IN 46219

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
8001 E 10TH ST
INDIANAPOLIS, IN 46219
Dentist (Prosthodontics)
8001 E 10TH ST
INDIANAPOLIS, IN 46219
Dentist
8001 E 10TH ST
INDIANAPOLIS, IN 46219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Star Clinic LLC's NPI number?

The NPI number for Star Clinic LLC is 1790058741. It was assigned to this organization in the NPPES registry on February 21, 2012.

Where is Star Clinic LLC located?

Star Clinic LLC is located at 8001 E 10th St, Indianapolis, IN 46219. The listed phone number is (317) 897-5787.

What is Star Clinic LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Star Clinic LLC accept?

Health plans from DentaQuest USA Insurance and UnitedHealthcare list Star Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Star Clinic LLC was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.