National Provider Identifier Database

OROFACIAL PAIN PLLC
Orofacial Pain

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.


Contact Information

OROFACIAL PAIN, PLLC
370 COURTHOUSE RD STE 103
GULFPORT, MS39507-1889
Phone: 228-203-1700
Fax: 228-203-1770
Website:
Specialty Taxonomy Code
* Orofacial Pain 1223X2210X

* Indicates primary specialty

NPI Profile & details for OROFACIAL PAIN, PLLC

NPI Number 1710768643
Legal business name
LBN
OROFACIAL PAIN, PLLC
Authorized official ANDREA ELENBAAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/06/2023
Last updated 08/06/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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