Provider record
Kyra Y Shea D.M.D.
Kyra Y Shea D.M.D. has a source-reported CMS NPPES record for Orthodontics And Dentofacial Orthopedics Dentistry in Eglin Afb, FL. MyCareRoute shows the NPI, entity type, taxonomy, practice address, reported phone, and source checked date from public data.
National Plan and Provider Enumeration System
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Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1558351403
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 340 Boatner Rd Bldg 2751
Eglin Afb, FL 32542-1391 - Phone
- (508) 883-8052
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Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223X0400X
- Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026
Additional NPPES taxonomy rows
Other dental taxonomy entries reported to NPPES for this NPI.
- 122300000X
- Dentist