Market Street Dental Studio · General Practice Dentistry

301 Market St, Fairmont, WV 26554-4034

Overview

Market Street Dental Studio is a General Practice Dentistry (organization) practicing in Fairmont, West Virginia. The National Provider Identifier (NPI) is #1174466858, which was assigned on April 9, 2026, and the registration record was last updated on April 21, 2026. The practitioner's main practice location is at 301 Market St, Fairmont, WV 26554-4034; the contact telephone number is 3043638530. The primary taxonomy of Market Street Dental Studio is General Practice Dentistry (1223G0001X), with specialization in General Practice. The authorized official for Market Street Dental Studio is Amanda K Shears (Regional Manager).

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider Information

NPI 1174466858
Entity Type Organization
Organization Name MARKET STREET DENTAL STUDIO
Provider Name MARKET STREET DENTAL STUDIO
Practice Address 301 Market St
Fairmont
WV 26554-4034
Practice Telephone 3043638530
Mailing Address 301 Market St
Fairmont
WV 26554-4034
Mailing Telephone 3043638530
Certification Date 2026-04-21
Enumeration Date 2026-04-09
Last Update Date 2026-04-21
Is Organization Subpart N

Authorized Official Information

Official Name AMANDA K SHEARS
Official Title REGIONAL MANAGER
Telephone 3046298406

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1223G0001XDentistGeneral Practice193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 1223G0001X
Taxonomy General Practice Dentistry
Classification Dentist
Specialization General Practice
Grouping Dental Providers
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

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Location Information

Street Address 301 MARKET ST
City FAIRMONT
State WV
Zip Code 26554-4034
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Glenn Alan Boyles 301 Market St, Fairmont, WV 26554-4034Orthodontics and Dentofacial Orthopedic Dentist2007-01-01
Laura Withers-Boyles, Dds, PLLC 301 Market St, Fairmont, WV 26554-4034Dentist2007-06-29
Glenn A. Boyles, Dds, Ms, PLLC 301 Market St, Fairmont, WV 26554-4034Orthodontics and Dentofacial Orthopedic Dentist2007-06-28
Laura Elizabeth Withers-Boyles 301 Market St, Fairmont, WV 26554-4034General Practice Dentistry2007-01-01
George Joseph Boyles 301 Market St, Fairmont, WV 26554-4034General Practice Dentistry2007-01-01

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kimberly Turner 503 Mortantown Ave, Suite 120 Eastland Square, Fairmont, WV 26554Homemaker2021-03-22
Tyaira Quinese Horton 323 Pinnacle Heights Dr, Fairmont, WV 26554Personal Care Attendant2024-07-18
Raphael Joseph David 510 Gruffy St, Fairmont, WV 26554Personal Care Attendant2025-05-01
Linda Clayton 402 Lehman Ave, Fairmont, WV 26554Personal Care Attendant2021-01-07
Kelly Ludwick 30 Mt. Park Drive, Fairmont, WV 26554Case Management Agency2020-12-22
Lisha Damara Ohearn 52 Blosser Street, Fairmont, WV 26554Behavioral Analyst2020-12-08
Misty Monique Cottingham 788 Cleveland Ave Apt 102, Fairmont, WV 26554Home Health Aide2021-11-15
Brianna Tichinel · Brianna Moran 178 Lower Traction Ave, Monongah, WV 26554Early Intervention Provider Agency2025-05-12
Randy S Glasscock 2420 Serene Ln, Pleasant Valley, WV 26554Mental Health Counselor2024-04-02
Beverly Ann Hess Suite 120 Eastland Square, 503 Morgantown Ave, Fairmont, WV 26554Homemaker2022-11-03
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.