Provider Demographics
NPI:1770635161
Name:TRENCHARD, LOUIS B IV (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:B
Last Name:TRENCHARD
Suffix:IV
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:3420 NE LOOP 286
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5003
Mailing Address - Country:US
Mailing Address - Phone:903-784-4591
Mailing Address - Fax:903-784-4682
Practice Address - Street 1:3420 NE LOOP 286
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5003
Practice Address - Country:US
Practice Address - Phone:903-784-4591
Practice Address - Fax:903-784-4682
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX191491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics