Jennifer Lynn Elzinga-Swedlow, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D8979 Issued in OR

Practice address

5152 Blazer Pkwy Ste 100
Dublin, OH 43017-7323

Phone

(614) 714-6793

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Lynn Elzinga Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1770775652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 E COLLEGE AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812504",
            "telephone_number": "503-866-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 BLAZER PKWY STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177323",
            "telephone_number": "614-714-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZINGA-SWEDLOW",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8979",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D8979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ELZINGA",
            "middle_name": "LYNN",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ahmed Elmi
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• Darla Lynette Elsner, R.N.
• Tara Michelle Elton, RN
• Khaled Elwan, RPH
• Kimberly Em, RBT
• Mandana Emami, M.D.
• Patricia Emans
• Myla Emberson, RN
• Emerald Eyecare LLC

• Periodontics in Dublin, OH
• Providers in Dublin, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.