Dr. Jiries Peter Mogannam
D.D.S., M.D. | Oral and Maxillofacial Surgeon
1111 Sonoma Ave, Suite #220, Santa Rosa
California, 95405-4819
707-566-7300 Maps & DirectionsDr. Jiries Peter Mogannam is a Santa Rosa, California based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jiries Peter Mogannam is
60191 for Oral and Maxillofacial Surgery in California. His current practice location is
1111 Sonoma Ave, Suite #220, Santa Rosa. Patients can reach him at
707-566-7300.
Dr. Jiries Peter Mogannam deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Jiries Peter Mogannam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jiries Peter Mogannam |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S., M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1111 Sonoma Ave, Suite #220, Santa Rosa,
California, 95405-4819 |
| Phone: | 707-566-7300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1609056878 |
| NPI Enumeration Date: | 05 Nov, 2007 |
| NPI Last Update On: | 17 Aug, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jiries Peter Mogannam are as mentioned below.
| License Number | Specialization | State | Status | |
| 60191 | Oral and Maxillofacial Surgery | California | Primary | |
| A114965 | Oral & Maxillofacial Surgery | California | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1111 Sonoma Ave, Suite #220
Santa Rosa, California |
| Zip: | 95405-4819 |
| Phone Number: | 707-566-7300 |
Patients can reach Dr. Jiries Peter Mogannam at
1111 Sonoma Ave, Suite #220, Santa Rosa, California or can
call to book an appointment on 707-566-7300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.