Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Issam Ghaben

Individual provider General Practice Dentistry · NPI 1487277935

Issam Ghaben is a General Practice Dentistry in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

4210 Sansom St
Philadelphia, PA 19104-3589
Phone: (614) 500-0304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS042785 (PA)

Record details

NPI number1487277935
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

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