Organization
MARKET STREET DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA K SHEARS (REGIONAL MANAGER)
(304) 629-8406
Entity
Organization
Contact information
Practice address
301 MARKET ST, FAIRMONT, WV 26554-4034
(304) 363-8530
Mailing address
301 MARKET ST, FAIRMONT, WV 26554-4034
(304) 363-8530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/21/2026
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