Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Andrew Shackelford, RDH

Individual provider Dental Hygienist · NPI 1689130064

Kyle Andrew Shackelford, RDH is a Dental Hygienist in Riverside, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

6165 Valley Springs Pkwy Ste E
Riverside, CA 92507-0955
Phone: (951) 214-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 32608 (CA)

Record details

NPI number1689130064
Entity typeIndividual (Type 1)
GenderMale
Credentials RDH
Sole proprietorNo
NPI enumeratedFebruary 11, 2019
Last updated in NPPESFebruary 11, 2019

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