MR. THOMAS J MILLER DDS
NPI 1760548614
Dentist in Green Bay, WI

Active since December 28, 2006PECOS Enrolled
2805 LIBAL ST., STE. C, GREEN BAY, WI 54301(920) 339-8980(920) 339-0133 Get Directions Write a Review

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

About Mr. Thomas J Miller Dds NPPES

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

MR. THOMAS J MILLER DDS (NPI 1760548614) is an individual dentist in Green Bay, Wisconsin, licensed in Iowa (4298) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760548614
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. THOMAS J MILLERCredential: DDS
Location Address2805 LIBAL ST., STE. CGreen Bay, WI 54301-2877
Mailing Address2805 Libal St., Ste. CGreen Bay, WI 54301-2877 · (920) 339-8980 · Fax (920) 339-0133
Fax(920) 339-0133
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760548614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IA · 4298
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2805 LIBAL ST., Green Bay, WI 54301

Other Identifiers 1

Medicaid33708700WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Thomas J Miller Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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

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

Dentist
2805 LIBAL ST., STE. C
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 Thomas Miller's NPI number?

The NPI number for Thomas Miller is 1760548614. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Thomas Miller located?

Thomas Miller practices at 2805 Libal St. Ste. C, Green Bay, WI 54301. The listed phone number is (920) 339-8980.

What is Thomas Miller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Thomas Miller enrolled in Medicare?

Yes. Thomas Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Miller 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.