Individual
KYLE ANDREW SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
6165 VALLEY SPRINGS PKWY STE E, RIVERSIDE, CA 92507-0955
(951) 214-6585
Mailing address
1301 W HEALD AVE, LAKE ELSINORE, CA 92530-3207
(951) 837-6092
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32608
CA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us