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KYLE ANDREW SHACKELFORD RDH
NPI 1689130064
Dental Hygienist in Riverside, CA

Active since February 11, 2019
6165 VALLEY SPRINGS PKWY STE E, RIVERSIDE, CA 92507(951) 214-6585 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Andrew Shackelford Rdh NPPES

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

KYLE ANDREW SHACKELFORD RDH (NPI 1689130064) is an individual dental hygienist in Riverside, California, licensed in California (32608) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1689130064
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameKYLE ANDREW SHACKELFORDCredential: RDH
Location Address6165 VALLEY SPRINGS PKWY STE ERiverside, CA 92507-0955
Mailing Address1301 W Heald AveLake Elsinore, CA 92530-3207 · (951) 837-6092
Phone(951) 214-6585
Sole ProprietorNo
Enumeration DateFebruary 11, 2019
✔ NPI 1689130064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CA · 32608
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.
6165 VALLEY SPRINGS PKWY STE E, Riverside, CA 92507
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Other Providers at the Same Location NPPES 2

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

DANIEL ULLOA
Dentist
6165 VALLEY SPRINGS PKWY STE E
RIVERSIDE, CA 92507
Riverside County (951) 214-6585
DR. MISTINA LOVINA MASSEY D.D.S.
Dentist
6165 VALLEY SPRINGS PKWY STE E
RIVERSIDE, CA 92507
Riverside County (951) 214-6585

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 Kyle Shackelford's NPI number?

The NPI number for Kyle Shackelford is 1689130064. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Kyle Shackelford located?

Kyle Shackelford practices at 6165 Valley Springs Pkwy Ste E, Riverside, CA 92507. The listed phone number is (951) 214-6585.

What is Kyle Shackelford's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kyle Shackelford was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.