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Contact Information

THE EVOLVE GROUP HOLDINGS, LLC
20136 MACK AVE
GROSSE POINTE WOODS, MI48236-1820
 Phone: 309-532-2059
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for THE EVOLVE GROUP HOLDINGS LLC · (Female)

NPI Number 1922892223
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2025
Last updated 04/09/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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