Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598852865 Individual Practitioner Male Practitioner

Dr. John Wurth Skellenger , DDS

Dentist - General Practice • Gladstone, MI

Professional Overview & Biography Verified Profile Summary

Dr. John Skellenger, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gladstone, MI. Practice services are available at 1103 DELTA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1103 Delta Ave

Gladstone, MI 498370167

Telephone 9064281616
Associated Practice Facility / Clinic
🏢 Gallery B Smiles Facility NPI 1235950890

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gladstone, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Gladstone, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 11634

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4043740 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kyle Bosk , DMD

Dentist - General Practice

NPI 1104230804

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1103 DELTA AVE, GLADSTONE, MI 498370167 (Tel: 9064281616)

📍
Updated Business Mailing Address July 08, 2007

Registered at P.O. BOX 167, GLADSTONE, MI 498370167 (Tel: 9064281616)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN SKELLENGER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #11634 in MI)

🟢
Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598852865
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

P.o. Box 167

Gladstone, MI 498370167

Phone: 9064281616

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.