# MARKET STREET DENTAL STUDIO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174466858
- **Authorized official:** AMANDA K SHEARS (REGIONAL MANAGER)
- **Authorized official phone:** (304) 629-8406

## Contact information

- **Practice address:** 301 MARKET ST, FAIRMONT, WV 26554-4034
- **Practice address phone:** (304) 363-8530
- **Mailing address:** 301 MARKET ST, FAIRMONT, WV 26554-4034
- **Mailing address phone:** (304) 363-8530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2026
- **Last updated:** 04/21/2026