# CARILION HEALTHCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARILION HEALTHCARE CORPORATION
- **Other names:** Carilion Clinic Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811668676
- **Legal business name:** CARILION HEALTHCARE CORPORATION
- **Authorized official:** ELEANOR ALTMAN PRESCOTT (DIR OF PAYER CONTRACT ADMINISTRATIO)
- **Authorized official phone:** (504) 224-5379

## Contact information

- **Practice address:** 1111 S JEFFERSON ST, ROANOKE, VA 24016-4724
- **Practice address phone:** (540) 855-6800
- **Practice address fax:** (540) 857-9710
- **Mailing address:** 213 S JEFFERSON ST STE 625, ROANOKE, VA 24011-1713
- **Mailing address phone:** (540) 224-5894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2021
- **Last updated:** 06/09/2026