Provider Demographics
NPI:1851600357
Name:FERRIS, ANDREW ASHTON (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:ASHTON
Last Name:FERRIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 STATE ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3182
Mailing Address - Country:US
Mailing Address - Phone:805-687-7417
Mailing Address - Fax:
Practice Address - Street 1:3820 STATE ST
Practice Address - Street 2:SUITE D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3182
Practice Address - Country:US
Practice Address - Phone:805-687-7417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA618761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA61876OtherSTATE LICENSE
MO2010019975OtherSTATE LICENSE