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Orofacial Pain, PLLC

Company Details

Name: Orofacial Pain, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 20 Jan 2023 (2 years ago)
Business ID: 1374673
ZIP code: 39507
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 370 Courthouse Road, 370 Courthouse Road, Suite 103Gulfport, MS 39507

Agent

Name Role Address
Andrea Elenbaas Agent 7 Briarwood Circle, Long Beach, MS 39560

Member

Name Role Address
Andrea Elenbaas Member 7 Briarwood Circle, Long Beach, MS 39560

National Provider Identifier

NPI Number:
1710768643
Certification Date:
2024-08-06

Authorized Person:

Name:
DR. ANDREA BURGER ELENBAAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223X2210X - Orofacial Pain Dentist
Is Primary:
Yes

Contacts:

Fax:
2282031770

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-05 Annual Report For Orofacial Pain, PLLC
Annual Report LLC Filed 2024-04-03 Annual Report For Orofacial Pain, PLLC
Formation Form Filed 2023-01-20 Formation For Orofacial Pain, PLLC

Date of last update: 01 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website