Individual provider · Type 1 NPI

Fred Lynn Egelston, DDS

Dentist · San Jose, CA

NPI number 1053443200 Active

Practice location

6501 Crown Blvd Ste 202
San Jose, CA 95120-2903

Fax (408) 268-8590

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	031779 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053443200

Fred Lynn Egelston, DDS's National Provider Identifier is 1053443200, issued on Mar 12, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.