Provider Demographics
NPI:1922147446
Name:TROUCHE, ALICE HOLLER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:HOLLER
Last Name:TROUCHE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7515
Mailing Address - Country:US
Mailing Address - Phone:843-769-0139
Mailing Address - Fax:
Practice Address - Street 1:1051 GARDNER RD STE C
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5747
Practice Address - Country:US
Practice Address - Phone:843-556-7437
Practice Address - Fax:843-556-6656
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2553122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist