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

Taha Ghouleh

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1609495498

Taha Ghouleh is an Oral and Maxillofacial Surgery (Dentist) in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020

Practice location Address checks out

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone: (708) 692-8242
Show map & directions

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

Additional practice locations (1)

  • 6855 S 27th St, Franklin, WI 53132-8045 — (414) 435-0787

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 6002189 (WI)

Record details

NPI number1609495498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2020
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

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