Individual provider · Type 1 NPI

Wally Alessandro Garcia Fulle, DDS

General Practice Dentistry · Bradenton, FL

NPI number 1154817880 Active

Practice location

1312 Manatee Ave E
Bradenton, FL 34208-1358

Call (941) 708-8710 Map

Fax (941) 708-8761

Mailing address

700 8th Ave W Ste 101
Palmetto, FL 34221-4737

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X12297 (CT)
General Practice Dentistry Primary 1223G0001XDN25266 (FL)

General Practice Dentistry: 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.

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About NPI 1154817880

Wally Alessandro Garcia Fulle, DDS's National Provider Identifier is 1154817880, issued on Jul 5, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bradenton, FL. The record was last updated on Aug 31, 2021.