NPI-registered general dentist Dr. David M. Spera (NPI 1801024575) practices in Point Loma at 1050 Rosecrans St, providing preventive and restorative oral care along the Sunset Cliffs corridor. His crown-and-bridge restorations and extraction work cover the general-dentistry scope, with surgical implant cases referred to peninsula specialists such as Smile Designers Dental Implant Center when bone grafting or fixture placement is required. Bilingual English-and-Spanish staff coordinate intake and treatment planning across most major PPO dental networks. Diagnostic digital X-rays and intraoral imaging guide treatment for decay, fractures, and periodontal pathology, routing complex prosthetic cases through a peninsula referral network that includes Danielle McCourt DDS. The most involved single-visit procedures are multi-surface composite restorations and post-and-core buildups that salvage heavily damaged teeth before they require extraction.