Doctor profile · Federal record
Dr. Wally Alessandro Garcia Fulle, DDS
General Practice Dentistry · Student in an Organized Health Care Education/Training Program · Bradenton, FL
- NPI 1154817880
- 8 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1312 Manatee Ave E
Bradenton, FL 342081358
(941) 708-8710
fax (941) 708-8761 - Mailing address
-
700 8Th Ave W Ste 101
Palmetto, FL 342214737
Credentials & registration
- NPI registered
- July 2018 — 8 yrs on file
- Profile last updated
- August 31, 2021
- Specialty taxonomy
- 1223G0001X — NUCC code
- State licenses (2)
- Florida #DN25266 · Connecticut #12297
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154817880. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 1 | $19.22 |
By nature of payment
Frequently asked questions
What is Dr. Wally Alessandro Garcia Fulle's medical specialty?
Dr. Wally Alessandro Garcia Fulle practices General Practice Dentistry in Bradenton, FL.
Where does Dr. Wally Alessandro Garcia Fulle practice?
Dr. Wally Alessandro Garcia Fulle practices at 1312 Manatee Ave E, Bradenton, FL 342081358. Office phone: 9417088710.
What is Dr. Wally Alessandro Garcia Fulle's NPI?
Dr. Wally Alessandro Garcia Fulle's National Provider Identifier (NPI) is 1154817880, issued by NPPES.