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DR. WALLY ALESSANDRO GARCIA FULLE DDS
NPI 1154817880
Dentist - General Practice in Bradenton, FL

Active since July 05, 2018PECOS Enrolled
1312 MANATEE AVE E, BRADENTON, FL 34208(941) 708-8710(941) 708-8761 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2018, Jul 5, 2018 (2 updates tracked since 2018).

About Dr. Wally Alessandro Garcia Fulle Dds NPPES

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

DR. WALLY ALESSANDRO GARCIA FULLE DDS (NPI 1154817880) is an individual general practice provider in Bradenton, Florida, licensed in Florida (DN25266) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154817880
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WALLY ALESSANDRO GARCIA FULLECredential: DDS
Location Address1312 MANATEE AVE EBradenton, FL 34208-1358
Mailing Address700 8th Ave W Ste 101Palmetto, FL 34221-4737 · (941) 776-4000 · Fax (941) 845-4963
Phone(941) 708-8710
Fax(941) 708-8761
Sole ProprietorNo
Enumeration DateJuly 5, 2018
Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
✔ NPI 1154817880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN25266
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 12297 (CT)
1312 MANATEE AVE E, Bradenton, FL 34208
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wally Alessandro Garcia Fulle 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 34208 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

LEA A MARINEAU ANP-BC
Nurse Practitioner (Adult Health)
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 708-8713
AURORA MARIA PARDO YERO
Nurse Practitioner (Family)
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 708-8700
MCR HEALTH, INC.
Optometrist
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 750-8797
DR. SUSANA MARTINEZ DDS
Dentist (General Practice)
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 708-8710
DR. LESLIE CHARLES SCOFIELD III DDS
Dentist
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 708-8710
BASENT M. SALEH DDS
Dentist (General Practice)
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 708-8710
DR. KASTHURI E JAYARAJ M.D.
Internal Medicine
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 708-8700
PRIYANKA KAPOOR
Family Medicine
1312 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 708-8700

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 Wally Alessandro Garcia Fulle's NPI number?

The NPI number for Wally Alessandro Garcia Fulle is 1154817880. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Wally Alessandro Garcia Fulle located?

Wally Alessandro Garcia Fulle practices at 1312 Manatee Ave E, Bradenton, FL 34208. The listed phone number is (941) 708-8710.

What is Wally Alessandro Garcia Fulle's specialty?

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

Is Wally Alessandro Garcia Fulle enrolled in Medicare?

Yes. Wally Alessandro Garcia Fulle is registered in the Medicare PECOS enrollment system.

What insurance does Wally Alessandro Garcia Fulle accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Wally Alessandro Garcia Fulle 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 Wally Alessandro Garcia Fulle was last updated on August 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.