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Organization
CARILION HEALTHCARE CORPORATION
Active
Organization
CARILION HEALTHCARE CORPORATION
Active
Parent organization
CARILION HEALTHCARE CORPORATION
Other names
Carilion Clinic Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARILION HEALTHCARE CORPORATION
Authorized official
ELEANOR ALTMAN PRESCOTT (DIR OF PAYER CONTRACT ADMINISTRATIO)
(504) 224-5379
Entity
Organization
Contact information
Practice address
1111 S JEFFERSON ST, ROANOKE, VA 24016-4724
(540) 855-6800
(540) 857-9710
Mailing address
213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
(540) 224-5894
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/22/2021
Last updated
06/09/2026
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