Provider Demographics
NPI:1306722756
Name:MICRO ENDODONTICS LLC
Entity type:Organization
Organization Name:MICRO ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRASS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-365-6091
Mailing Address - Street 1:10 POST OFFICE SQ STE 1101
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4603
Mailing Address - Country:US
Mailing Address - Phone:617-366-1600
Mailing Address - Fax:617-366-1700
Practice Address - Street 1:10 POST OFFICE SQ STE 1101
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-4603
Practice Address - Country:US
Practice Address - Phone:617-366-1600
Practice Address - Fax:617-366-1700
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICRO ENDODONTICS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty