Dr Jiries Peter Mogannam, DDS, MD - Dentist in Santa Rosa, CA

Dr Jiries Peter Mogannam, DDS, MD is a Dentist - Oral And Maxillofacial Surgery based in Santa Rosa, California. Dr Jiries Peter Mogannam is licensed to practice in California (license number 60191) and his current practice location is 1111 Sonoma Ave, Suite #220, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 566-7300.

NPI number for Dr Jiries Peter Mogannam is 1609056878 and his current mailing address is 1111 Sonoma Ave, Suite #220, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609056878.

Contact Information

Dr Jiries Peter Mogannam, DDS, MD
1111 Sonoma Ave, Suite #220,
Santa Rosa, CA 95405-4819
(707) 566-7300
Not Available



Healthcare Provider's Profile

Full NameDr Jiries Peter Mogannam
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1111 Sonoma Ave, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609056878
  • Provider Enumeration Date: 11/05/2007
  • Last Update Date: 08/17/2011

Medical Identifiers

Medical identifiers for Dr Jiries Peter Mogannam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609056878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 60191 (California)Primary
204E00000XOral & Maxillofacial Surgery A114965 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jiries Peter Mogannam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jiries Peter Mogannam, DDS, MD
1111 Sonoma Ave, Suite #220,
Santa Rosa, CA 95405-4819

Ph: (707) 566-7300
Dr Jiries Peter Mogannam, DDS, MD
1111 Sonoma Ave, Suite #220,
Santa Rosa, CA 95405-4819

Ph: (707) 566-7300

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Dentist in Santa Rosa, CA

Mrs. Edita Vasiliauskas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2448 Guerneville Rd, Santa Rosa, CA 95403
Phone: 707-579-2808    
Dr. Simone Winkler Downs, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1206 Farmers Lane, Santa Rosa, CA 95405
Phone: 707-575-4450    Fax: 415-789-1252
Paul James Steigerwald, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 868 2nd St, Santa Rosa, CA 95404
Phone: 707-525-1228    Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1460 Farmers Ln, Santa Rosa, CA 95405
Phone: 707-566-7300    Fax: 707-566-7400
Dr. Brian William Payne, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405
Phone: 707-546-5234    Fax: 707-546-3928
Dr. Hiko Ruo, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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