Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. RAVEN-DENEICE GRANT CAROUTHERS
Active
Individual
DR. RAVEN-DENEICE GRANT CAROUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.032541
IL
1223G0001X
General Practice Dentistry
Primary
35602
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
IL
Enumeration date
07/11/2019
Last updated
01/09/2025
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