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Dr. Andrea Elenbaas, DMD
General Practice Dentistry in Gulfport, Mississippi
NPI 1922125947

Andrea Elenbaas is a General Practice Dentistry based in Gulfport, MS and is specialized in General Practice. Andrea Elenbaas practices in Gulfport, MS and has the professional credentials of DMD. The NPI Number for Andrea Elenbaas is 1922125947 and holds a License No. 2934-96 (Mississippi).

The current practice location address for Andrea Elenbaas is 370 Courthouse Rd Ste 103, Gulfport, MS and can be reached out via phone at 228-203-1700 and via fax at 228-203-1770.

Location: 370 Courthouse Rd Ste 103, Gulfport, MS, 39507-1889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922125947
Provider Name
Andrea Elenbaas
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
370 Courthouse Rd Ste 103, Gulfport, MS, 39507-1889
Phone Number
228-203-1700
Fax Number
228-203-1770
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
370 Courthouse Rd Ste 103
City
Gulfport
State
Mississippi
Zip
39507-1889
Phone Number
228-203-1700
Fax Number
228-203-1770
person
Provider Business Mailing Address Details
Address
370 Courthouse Rd Ste 103
City
Gulfport
State
Mississippi
Zip
39507-1889
Phone Number
228-203-1700
Fax Number
228-203-1770
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2934-96 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
2934-96 (Mississippi)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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Similar Doctors in Gulfport, Mississippi:

institution
Orofacial Pain, Pllc
NPI 1710768643
General Practice Dentistry
370 Courthouse Rd Ste 103,
GULFPORT, MS
39507-1889
228-203-1700
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