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DR. EGDON LIBAO SAN LUIS DDS
NPI 1396897278
Dentist in Hayward, CA

Active since January 18, 2007
21471 FOOTHILL BLVD, SUITE E, HAYWARD, CA 94541(510) 537-6175(510) 537-6170 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Egdon Libao San Luis Dds NPPES

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

DR. EGDON LIBAO SAN LUIS DDS (NPI 1396897278) is an individual dentist in Hayward, California, licensed in California (49661) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1396897278
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EGDON LIBAO SAN LUISCredential: DDS
Location Address21471 FOOTHILL BLVD, SUITE EHayward, CA 94541
Mailing Address21471 Foothill Blvd, Suite EHayward, CA 94541 · (510) 537-6175 · Fax (510) 537-6170
Phone(510) 537-6175
Fax(510) 537-6170
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396897278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 49661
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.
21471 FOOTHILL BLVD, Hayward, CA 94541
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUPAL N. SHAH DDS INC
Dentist
21471 FOOTHILL BLVD, SUITE E
HAYWARD, CA 94541
Alameda County (510) 573-6175

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 Egdon San Luis's NPI number?

The NPI number for Egdon San Luis is 1396897278. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Egdon San Luis located?

Egdon San Luis practices at 21471 Foothill Blvd Suite E, Hayward, CA 94541. The listed phone number is (510) 537-6175.

What is Egdon San Luis's specialty?

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

When was this NPI record last updated?

The NPPES record for Egdon San Luis 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.