The Evolve Group Holdings, Llc

LBN: The Evolve Group Holdings, Llc
The Evolve Group Holdings, Llc is an health care organization with primary practice located at 20136 Mack Ave , Grosse Pointe Woods MI 48236-1820. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. The Evolve Group Holdings, Llc can be contacted via phone (309) 532-2059, or through Kingston, Kyle via phone (309) 532-2059.

Contact Information

Primary practice address
20136 Mack Ave Grosse Pointe Woods MI 48236-1820
Phone: (309) 532-2059
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kingston, Kyle
Phone: (309) 532-2059

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1922892223
LBN Legal business name The Evolve Group Holdings, Llc
DBA Doing business as
Authorized official Kingston, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2025
Last updated Apr 9th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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