Organization
A FANCY CHEEZE LLC.
Active
Parent organization
A FANCY CHEEZE LLC.
Other names
A Fancy Cheeze Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
A FANCY CHEEZE LLC.
Authorized official
MS. SHALAURENCE FURLOW (COO)
(615) 554-7422
Entity
Organization
Contact information
Practice address
6522 HIGHWAY 41A, PLEASANT VIEW, TN 37146-8162
(615) 397-4784
Mailing address
1004 TABITHA LN, OLD HICKORY, TN 37138-2361
(615) 554-7422
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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