1. Home
  2. Directory
  3. California
  4. San Jose
  5. Dentist
  6. NPI Profile

DR. FRED LYNN EGELSTON DDS
NPI 1053443200
Dentist in San Jose, CA

Active since March 12, 2007
6501 CROWN BLVD STE 202, SAN JOSE, CA 95120(408) 268-7000(408) 268-8590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Fred Lynn Egelston Dds NPPES

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

DR. FRED LYNN EGELSTON DDS (NPI 1053443200) is an individual dentist in San Jose, California, licensed in California (031779) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1053443200
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. FRED LYNN EGELSTONCredential: DDS
Location Address6501 CROWN BLVD STE 202San Jose, CA 95120-2903
Mailing Address6501 Crown Blvd Ste 202San Jose, CA 95120-2903 · (408) 268-7000 · Fax (408) 268-8590
Phone(408) 268-7000
Fax(408) 268-8590
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053443200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 031779
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6501 CROWN BLVD STE 202, San Jose, CA 95120
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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 Fred Egelston's NPI number?

The NPI number for Fred Egelston is 1053443200. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Fred Egelston located?

Fred Egelston practices at 6501 Crown Blvd Ste 202, San Jose, CA 95120. The listed phone number is (408) 268-7000.

What is Fred Egelston's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Fred Egelston accept?

Health plans from Humana list Fred Egelston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fred Egelston was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.