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

Dr. Fred Lynn Egelston, DDS

Individual provider Dentist · NPI 1053443200

Dr. Fred Lynn Egelston, DDS is a Dentist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6501 Crown Blvd Ste 202
San Jose, CA 95120-2903
Phone: (408) 268-7000
Fax: (408) 268-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 031779 (CA)

Record details

NPI number1053443200
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007

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