Physician Profile

Jiries P. Mogannam, D.D.S., M.D.

Unclaimed Profile

About Dr. Mogannam

Based in Santa Rosa, CA, Jiries P. Mogannam, D.D.S., M.D. is listed in the NPI registry under oral & maxillofacial surgery (dental). Jiries is also listed as specializing in oral & maxillofacial surgery.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Specialty

Oral & Maxillofacial Surgery (Dental) (Primary)
Oral & Maxillofacial Surgery (Additional)

Credentials & Licensing

CA license60191
CA licenseA114965
NPI1609056878
NPI issued11/05/2007

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outYes, since December 2019
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jiries P. Mogannam, D.D.S.?

Jiries P. Mogannam, D.D.S. is an oral & maxillofacial surgery (dental) in Santa Rosa, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jiries P. Mogannam, D.D.S.'s address?

Jiries P. Mogannam, D.D.S. is listed at 1111 Sonoma Ave Suite #220, Santa Rosa, CA 95405. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jiries P. Mogannam, D.D.S.?

The number on file is (707) 566-7300. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Jiries P. Mogannam, D.D.S.'s NPI number?

Jiries P. Mogannam, D.D.S.'s National Provider Identifier is 1609056878. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jiries P. Mogannam, D.D.S. been practicing?

Jiries P. Mogannam, D.D.S. has 19+ years experience. Registered with an NPI since 2007. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jiries P. Mogannam, D.D.S. confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jiries P. Mogannam, D.D.S.. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.