Active NPI
Market Street Dental Studio
- General Practice Dentistry
- Fairmont, WV
National Provider Identifier
1174466858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MARKET STREET DENTAL STUDIO
- Practice address
- 301 Market St
Fairmont, WV 26554-4034 - Phone
- (304) 363-8530
- NPI assigned
- Apr 9, 2026
- Last updated
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda K Shears
- Title
- Regional Manager
- Phone
- (304) 629-8406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
301 Market St
Fairmont, WV 26554-4034
Mailing address
301 Market St
Fairmont, WV 26554-4034
Phone (304) 363-8530
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1174466858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MARKET ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265544034",
"telephone_number": "304-363-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MARKET ST",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265544034",
"telephone_number": "304-363-8530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARKET STREET DENTAL STUDIO",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "SHEARS",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "304-629-8406"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.