Fred Lynn Egelston is a Dentist in San Jose, California. Fred Lynn Egelston practices all healthcare services and medical treatments related to Dentist. The NPI Number for Fred Lynn Egelston is 1053443200. The last update date is 2007-07-08.
Fred Lynn Egelston's current location address is 6501 Crown Blvd Ste 202, San Jose, California. You can contact this provider via phone number 4082687000 and fax number 4082688590. The mailing address for Fred Lynn Egelston is 6501 Crown Blvd Ste 202, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Lynn Egelston |
|---|---|
| Address | 6501 Crown Blvd Ste 202, San Jose, California |
| Phone Number | 4082687000 |
| Fax Number | 4082688590 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053443200 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6501 Crown Blvd Ste 202 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951202903 |
| Phone Number | 4082687000 |
| Fax Number | 4082688590 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 31779 |
|
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: denti |
|
Post Comment/ Review Below
What is the unique identification code assigned to Fred Lynn Egelston by the Centers for Medicare & Medicaid Services?
The Fred Lynn Egelston has been issued the NPI (National Provider Identifier) 1053443200. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fred Lynn Egelston is located?
The Fred Lynn Egelston is situated at the following address: 6501 Crown Blvd Ste 202, San Jose, CA, 951202903.
What is Fred Lynn Egelston's area of expertise and its corresponding taxonomy classification?
The Fred Lynn Egelston's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Fred Lynn Egelston receive the assignment of its 1053443200 from the Centers for Medicare & Medicaid Services?
The Fred Lynn Egelston was issued its 1053443200 by the Centers for Medicare & Medicaid Services on 2007-03-12.
As of what date were the Fred Lynn Egelston's details last updated?
The information pertaining to the Fred Lynn Egelston, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC