Individual provider · Type 1 NPI

Kyle Andrew Shackelford, RDH

Dental Hygienist · Riverside, CA

NPI number 1689130064 Active

Practice location

6165 Valley Springs Pkwy Ste E
Riverside, CA 92507-0955

Call (951) 214-6585 Map

Mailing address

1301 W Heald Ave
Lake Elsinore, CA 92530-3207

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	32608 (CA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

2 other providers at this address

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About NPI 1689130064

Kyle Andrew Shackelford, RDH's National Provider Identifier is 1689130064, issued on Feb 11, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Riverside, CA. The record was last updated on Feb 11, 2019.