| Evolve Family Dentistry, Llc | |
|
1133 College Ave Ste A103 Manhattan KS 66502-2795 | |
| (785) 539-0804 | |
| (785) 587-9810 |
| Full Name | Evolve Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1133 College Ave Ste A103, Manhattan, Kansas |
| Authorized Official Name and Position | Ryan P Grieves (DENTIST/OWNER) |
| Authorized Official Contact | 7855390804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Family Dentistry, Llc 1133 College Ave Ste A103 Manhattan KS 66502-2795 Ph: (785) 539-0804 | Evolve Family Dentistry, Llc 1133 College Ave Ste A103 Manhattan KS 66502-2795 Ph: (785) 539-0804 |
| NPI Number | 1114588639 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114588639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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