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Active NPI 1154817880 Individual Practitioner Male Practitioner

Dr. Wally Alessandro Garcia Fulle , DDS

Dentist - General Practice • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. Wally Alessandro Garcia Fulle, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bradenton, FL. Practice services are available at 1312 MANATEE AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1312 Manatee Ave E

Bradenton, FL 342081358

Telephone 9417088710
Fax 9417088761
Associated Practice Facility / Clinic
🏢 Mcr Health, Inc. Facility NPI 1689600330

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
111 Specialists

Practicing in Bradenton, FL (7473 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

CMS Verified: 2021-08-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN25266

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License CT 12297

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Susana Martinez , DDS

Dentist - General Practice

NPI 1215015144

Doctor of Dental Surgery

NPI 1235155045

Doctor of Dental Surgery

Dr. Basent Saleh , DDS

Dentist - General Practice

NPI 1265263537

Doctor of Dental Surgery

Dr. Mine Turhan , DDS

Dentist - General Practice

NPI 1366878696

Doctor of Dental Surgery

Dr. Christina Fleck , DMD

Dentist - General Practice

NPI 1558106039

Doctor of Dental Medicine

Dr. Arnaldo Noa Sanchez , DDS

Dentist - General Practice

NPI 1831486844

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 31, 2021

Registered at 1312 MANATEE AVE E, BRADENTON, FL 342081358 (Tel: 9417088710)

📍
Updated Business Mailing Address August 31, 2021

Registered at 700 8TH AVE W STE 101, PALMETTO, FL 342214737 (Tel: 9417764000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2021

Dentist (License #DN25266 in FL)

📍
Updated Practice Location July 30, 2018

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 06030 (Tel: 8606792000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2018

Student in an Organized Health Care Education/Training Program (License #12297 in CT)

NPI Profile Active July 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2018

Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060300002 (Tel: 8606792000)

📍
Updated Business Mailing Address July 05, 2018

Registered at 395 BRITTANY FARMS RD APT 404, NEW BRITAIN, CT 060531150 (Tel: 9592086213)

👤
Provider Name / Credentials Updated July 05, 2018

Recorded as WALLY ALESSANDRO GARCIA FULLE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 05, 2018

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: 1154817880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2018
Last Update: August 31, 2021
Sole Proprietor: No

Mailing Address

700 8th Ave W Ste 101

Palmetto, FL 342214737

Phone: 9417764000

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.