# ST APOLLONIA DENTTAL

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

## Provider details

- **NPI number:** 1689068876
- **Authorized official:** DR. CHARLES PATRICK PEARSON DDS (OWNER)
- **Authorized official phone:** (586) 323-1320

## Contact information

- **Practice address:** 43158 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1723
- **Practice address phone:** (586) 323-1320
- **Practice address fax:** (586) 323-1530
- **Mailing address:** 43158 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1723
- **Mailing address phone:** (586) 323-1320
- **Mailing address fax:** (586) 323-1530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901013190 | MI | Yes |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 03/25/2015