Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrea Elenbaas, DMD

Individual provider Orofacial Pain Dentistry · NPI 1922125947

Dr. Andrea Elenbaas, DMD is an Orofacial Pain in Gulfport, Mississippi. Graduated from University of Mississippi Medical Center School of Dentistry in 1996, 30 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
30
Trained at
University of Mississippi Medical Center School of Dentistry
Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

370 Courthouse Rd Ste 103
Gulfport, MS 39507-1889
Phone: (228) 203-1700
Fax: (228) 203-1770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orofacial Pain Dentistry (primary) Taxonomy 1223X2210X · Licence 2934-96 (MS)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2934-96 (MS)

Record details

NPI number1922125947
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 23, 2007
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOROFACIAL PAIN
Medical schoolUNIVERSITY OF MISSISSIPPI MEDICAL CENTER SCHOOL OF DENTISTRY
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated

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