Organization · Type 2 NPI

Star Clinic LLC

Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN

NPI number 1790058741 Active

Practice location

8001 E 10th St
Indianapolis, IN 46219-5240

Fax (317) 895-8511

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12011343A (IN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

3 other providers at this address

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About NPI 1790058741

Star Clinic LLC's National Provider Identifier is 1790058741, issued on Feb 21, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 20, 2026.