# A FANCY CHEEZE LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** A FANCY CHEEZE LLC.
- **Other names:** A Fancy Cheeze Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497269617
- **Legal business name:** A FANCY CHEEZE LLC.
- **Authorized official:** MS. SHALAURENCE FURLOW (COO)
- **Authorized official phone:** (615) 554-7422

## Contact information

- **Practice address:** 6522 HIGHWAY 41A, PLEASANT VIEW, TN 37146-8162
- **Practice address phone:** (615) 397-4784
- **Mailing address:** 1004 TABITHA LN, OLD HICKORY, TN 37138-2361
- **Mailing address phone:** (615) 554-7422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/27/2017
- **Last updated:** 11/27/2017