Healthcare Provider Details

I. General information

NPI: 1619075991
Provider Name (Legal Business Name): STEVEN JAMES SPECA DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1590 N CENTER AVE STE 102
SOMERSET PA
15501-7019
US

IV. Provider business mailing address

1009 GOLDENEYE DR
BADEN PA
15005-2568
US

V. Phone/Fax

Practice location:
  • Phone: 814-444-8815
  • Fax:
Mailing address:
  • Phone: 412-983-6663
  • Fax: 724-256-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDA031675
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS036064
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number10625
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: