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Physician Profile

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

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At a glance

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. NPI 1609056878 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

CA · General Anesthesia PermitDental Board of California
No. 1576CurrentExpires Jun 2028Since 2011
CA · Dental LicenseDental Board of California
No. 60191CurrentExpires Jun 2028Since 2011
CA · Physician and Surgeon AMedical Board of California
No. 114965CurrentExpires Jun 2028Since 2010
NPINational Provider Identifier
1609056878Issued 2007

Snapshot · verify with the board ↗

Medicare information

Medicare opt-outEnded December 2023
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. Contact the office directly to confirm availability and scheduling.

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

Guide.md listings do not constitute medical advice or an endorsement.

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