MEDICARE: STARSOMNA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1508712720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARSOMNA LLC

Provider Business Mailing Address
First Line	:	8001 E 10TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-5240
Country	:	US
Telephone Number	:	317-897-5787
Fax Number	:	317-895-8511

Provider Business Practice Location Address
First Line	:	8001 E 10TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-5240
Country	:	US
Telephone Number	:	317-897-5787
Fax Number	:	317-895-8511

Authorized Official
Title or Position	:	OWNER
Name	:	ESTHER R GHEBREMICHAEL
Credential	:	DDS
Telephone Number	:	317-414-8822

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	06/09/2026

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Directions to “STARSOMNA LLC ” Practice Location

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