Provider Demographics
NPI:1881872547
Name:FERRIS, JAMES STERLING (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STERLING
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 1:2000 LOCUST ST STE B
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-7300
Mailing Address - Country:US
Mailing Address - Phone:815-625-6842
Mailing Address - Fax:815-625-6887
Practice Address - Street 1:2000 LOCUST ST STE B
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-7300
Practice Address - Country:US
Practice Address - Phone:815-625-6842
Practice Address - Fax:815-625-6887
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice