person
Dr. Jiries Peter Mogannam, DDS,MD
Oral & Maxillofacial Surgery (D.M.D.) in Santa Rosa, California
NPI 1609056878

Jiries Peter Mogannam is a Oral & Maxillofacial Surgery (D.M.D.) based in Santa Rosa, CA. Jiries Peter Mogannam practices in Santa Rosa, CA and has the professional credentials of DDS,MD. The NPI Number for Jiries Peter Mogannam is 1609056878 and holds a License No. 60191 (California).

The current practice location address for Jiries Peter Mogannam is 1111 Sonoma Ave, Santa Rosa, CA and can be reached out via phone at 707-566-7300.

Location: 1111 Sonoma Ave, Santa Rosa, CA, 95405-4819
person
Provider Profile Details
NPI Number
1609056878
Provider Name
Jiries Peter Mogannam
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
1111 Sonoma Ave, Santa Rosa, CA, 95405-4819
Phone Number
707-566-7300
Fax Number
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 Sonoma Ave
City
State
Zip
95405-4819
Phone Number
707-566-7300
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Sonoma Ave
City
State
Zip
95405-4819
Phone Number
707-566-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
A114965 (California)
Definition
The specialty of dentistry which includes 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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
License No.
60191 (California)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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