IndividualActive
Andrea Elenbaas, D.M.D.
NPI 1922125947 · Orofacial Pain Dentistry · Gulfport, MS
Provider details
- NPI number
- 1922125947
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2934-96 (MS)
Practice location
370 Courthouse Rd Ste 103
Gulfport, MS 39507-1889
Phone: (228) 203-1700
Fax: (228) 203-1770
Mailing address
370 Courthouse Rd Ste 103
Gulfport, MS 39507-1889
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.