Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TAHA GHOULEH
NPI 1609495498
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

Active since April 11, 2020

3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(708) 692-8242 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2026, Apr 11, 2020 (2 updates tracked since 2020).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist
Oral and Maxillofacial Surgery

About TAHA GHOULEH

This page provides the complete NPI Profile along with additional information for Taha Ghouleh, a provider established in Philadelphia, Pennsylvania with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1609495498 assigned on April 2020. The practitioner's primary taxonomy code is 1223S0112X with license number 6002189 (WI). The provider is registered as an individual and his NPI record was last updated July 2026.

NPI: 1609495498 Verify this NPI
Provider Name: TAHA GHOULEH
Gender: Male
Entity Type: Individual
Location Address: 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104
Location Phone: (708) 692-8242
Mailing Address: 6415 W 84TH ST BURBANK, IL 60459
Mailing Phone: (708) 692-8242
Is Sole Proprietor?: Yes
Enumeration Date: 04-11-2020
Last Update Date: 07-16-2026
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A dentist like Taha Ghouleh is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist Oral and Maxillofacial Surgery
Taxonomy Code: 1223S0112X
Type: Dental Providers
License No.: 6002189
License State: WI
Taxonomy Description: An oral and maxillofacial surgery dentist specialized in 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.