Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.