MEDICARE: DON SPECK DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	12153	TX

General Provider Information

NPI Number	:	1225157795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON SPECK DDS

Provider Business Mailing Address
First Line	:	5252 WESTCHESTER ST
Second Line	:	SUITE 190
City	:	HOUSTON
State	:	TX
Zip	:	77005-4141
Country	:	US
Telephone Number	:	713-666-7884
Fax Number	:	713-666-5326

Provider Business Practice Location Address
First Line	:	5252 WESTCHESTER ST
Second Line	:	SUITE 190
City	:	HOUSTON
State	:	TX
Zip	:	77005-4141
Country	:	US
Telephone Number	:	713-666-7884
Fax Number	:	713-666-5326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	03/15/2026

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