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Kyle Andrew Shackelford, RDH
Dental Hygienist in Riverside, California
NPI 1689130064

Kyle Andrew Shackelford is a Dental Hygienist based in Lake Elsinore, CA. Kyle Andrew Shackelford practices in Riverside, CA and has the professional credentials of RDH. The NPI Number for Kyle Andrew Shackelford is 1689130064 and holds a License No. 32608 (California).

The current practice location address for Kyle Andrew Shackelford is 6165 Valley Springs Pkwy Ste E, Riverside, CA and can be reached out via phone at 951-214-6585. You can also correspond with Kyle Andrew Shackelford through the mailing address at 1301 W HEALD AVE, LAKE ELSINORE, CA - 92530-3207 (mailing address contact number: 951-837-6092).

Location: 6165 Valley Springs Pkwy Ste E, Riverside, CA, 92530-3207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689130064
Provider Name
Kyle Andrew Shackelford
Credential
RDH
Provider Entity Type
Individual
Gender
Male
Address
6165 Valley Springs Pkwy Ste E, Riverside, CA, 92530-3207
Phone Number
951-214-6585
Fax Number
Provider Enumeration Date
02/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6165 Valley Springs Pkwy Ste E
City
Riverside
State
California
Zip
92507-0955
Phone Number
951-214-6585
Fax Number
person
Provider Business Mailing Address Details
Address
1301 W Heald Ave
City
Lake Elsinore
State
California
Zip
92530-3207
Phone Number
951-837-6092
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
32608 (California)
Definition
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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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