GARY C. NOBLE D.D.S.
NPI 1316069370
Dentist - General Practice in Green Bay, WI

Active since April 03, 2007Opted out of Medicare · through Oct 23, 2026
704 S WEBSTER AVE, SUITE 402, GREEN BAY, WI 54301(920) 435-6894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary C. Noble D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY C. NOBLE D.D.S. (NPI 1316069370) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (4416) and active in the NPI registry since April 2007. He has opted out of Medicare through October 23, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316069370
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGARY C. NOBLECredential: D.D.S.
Location Address704 S WEBSTER AVE, SUITE 402Green Bay, WI 54301-3528
Mailing Address704 S Webster Ave, Suite 402Green Bay, WI 54301-3528 · (920) 435-6894
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1316069370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4416
Definition
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.
704 S WEBSTER AVE, Green Bay, WI 54301

Other Identifiers 1

Medicaid33738400WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Gary C. Noble D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 23, 2012 through October 23, 2026.

Opt-Out Effective DateOctober 23, 2012
Opt-Out In Effect ThroughOctober 23, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
704 S WEBSTER AVE
GREEN BAY, WI 54301
Surgery (Vascular Surgery)
704 S WEBSTER AVE, SUITE 15
GREEN BAY, WI 54301
Nurse Practitioner (Obstetrics & Gynecology)
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD
GREEN BAY, WI 54301
Dentist (General Practice)
704 S WEBSTER AVE, SUITE 402
GREEN BAY, WI 54301
Internal Medicine (Infectious Disease)
704 S WEBSTER AVE, SUITE 501
GREEN BAY, WI 54301
Family Medicine
704 S WEBSTER AVE, SUITE 200
GREEN BAY, WI 54301
Physician Assistant
704 S WEBSTER AVE, STE 100
GREEN BAY, WI 54301
Dietitian, Registered
704 S WEBSTER AVE
GREEN BAY, WI 54301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Noble's NPI number?

The NPI number for Gary Noble is 1316069370. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Gary Noble located?

Gary Noble practices at 704 S Webster Ave Suite 402, Green Bay, WI 54301. The listed phone number is (920) 435-6894.

What is Gary Noble's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gary Noble enrolled in Medicare?

No. Gary Noble has opted out of Medicare through October 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gary Noble accept?

Health plans from Delta Dental of Wisconsin, Inc. list Gary Noble as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Noble was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.