Gebru Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GEBRU DENTAL, LLC

Practice address

10110 E Washington St Ste E
Indianapolis, IN 46229-2638

Phone

(317) 897-0200

NPI assigned

Jun 16, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Barber

Title

Provider Enrollment Manager

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manpreet Kaur Dhanjal, DDS

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1003671280
  NPD
• Liya Gebru

  • Dentist
  • Indianapolis, IN
  • NPI 1730826207
  NPD
• Jong-Raye Liang, DDS

  • Dentist
  • Noblesville, IN
  • NPI 1780963264

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1184510323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 E WASHINGTON ST STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292638",
            "telephone_number": "317-897-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEBRU DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jean Gebhardt, PH.D
• Julie Rosemary Gebhart, PA
• Kevin B. Gebke, M.D.
• Lauren Gebolys
• Bahrishum Gebregziaeher
• Liya Gebru
• Yordanos Gebru, MPH, MS
• Claryce Gedde
• Gabrielle Christine Geddes, MD
• Geeky Minds Counseling, LLC

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.