Gallery B Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GALLERY B SMILES

Practice address

1103 Delta Ave
Gladstone, MI 49837-1438

Phone

(906) 428-1616

Fax

(906) 428-2177

NPI assigned

Oct 17, 2024

Last updated

Jan 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kyle Bosk, DMDNPI 1104230804

Title

Owner

Phone

(906) 428-1616

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Bosk, DMD

  • General Practice Dentistry
  • Gladstone, MI
  • NPI 1104230804
  NPD Authorized official
• Randy Bogaudo, D.D.S.

  • General Practice Dentistry
  • Escanaba, MI
  • NPI 1851569859
  NPD (past)
• John Wurth Skellenger, DDS

  • General Practice Dentistry
  • Gladstone, MI
  • NPI 1598852865
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1235950890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 DELTA AVE",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371438",
            "telephone_number": "906-428-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 DELTA AVE",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371438",
            "telephone_number": "906-428-1616",
            "fax_number": "906-428-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Ludington St",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498292344",
            "country_code": "US",
            "telephone_number": "906-786-4033",
            "fax_number": "906-786-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GALLERY B SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "BOSK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-428-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Fairbanks, D.C.
• Margo Irene Fairbanks, D.C.
• Family Roots Chiropractic
• G Scott Kelly DDS PC
• Alicia Gabriel
• Dana Gehlhausen, L.AC.
• Kellie Jean Gillis, DC
• Gladstone Eye Care PC
• Gladstone Pharmacy Inc. (Gladstone Pharmacy)
• Justin Grabowski

• General Practice Dentistry in Gladstone, MI
• Providers in Gladstone, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.