REMEDY CLINIC
NPI 1710768643
Dentist - Orofacial Pain in Gulfport, MS

Active since October 06, 2023
370 COURTHOUSE RD STE 103, GULFPORT, MS 39507(228) 203-1700(228) 203-1770 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, Oct 6, 2023 (2 updates tracked since 2023).

About Remedy Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REMEDY CLINIC (NPI 1710768643) is a healthcare organization registered as an orofacial pain in Gulfport, Mississippi and active in the NPI registry since October 2023. The organization lists Andrea Burger Elenbaas, Owner, as its authorized official.

NPPES Registry Identity

NPI1710768643
Entity TypeOrganization
Primary Taxonomy1223X2210X
Legal Business NameOROFACIAL PAIN, PLLC
Location Address370 COURTHOUSE RD STE 103Gulfport, MS 39507-1889
Mailing Address370 Courthouse Rd Ste 103Gulfport, MS 39507-1889 · (228) 203-1700 · Fax (228) 203-1770
Fax(228) 203-1770
Organization SubpartNo
Authorized OfficialAndrea Burger ElenbaasOwner · (228) 203-1700
Enumeration DateOctober 6, 2023
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1710768643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
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.

370 COURTHOUSE RD STE 103, Gulfport, MS 39507

Other Names 1

Doing Business AsRemedy Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orofacial Pain)
370 COURTHOUSE RD STE 103
GULFPORT, MS 39507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orofacial Pain, PLLC's NPI number?

The NPI number for Orofacial Pain, PLLC is 1710768643. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Remedy Clinic.

Where is Orofacial Pain, PLLC located?

Orofacial Pain, PLLC is located at 370 Courthouse Rd Ste 103, Gulfport, MS 39507. The listed phone number is (228) 203-1700.

What is Orofacial Pain, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

When was this NPI record last updated?

The NPPES record for Orofacial Pain, PLLC was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.