Provider Demographics
NPI:1679522296
Name:NOLFI, EUGENE VINCENT JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:VINCENT
Last Name:NOLFI
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 DODDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2371
Mailing Address - Country:US
Mailing Address - Phone:361-855-6211
Mailing Address - Fax:361-853-8127
Practice Address - Street 1:525 DODDRIDGE ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2371
Practice Address - Country:US
Practice Address - Phone:361-855-6211
Practice Address - Fax:361-853-8127
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry