Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 16, 2026.

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

About Taha Ghouleh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAHA GHOULEH (NPI 1609495498) is an individual oral and maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Wisconsin (6002189) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1609495498
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTAHA GHOULEH
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address6415 W 84th StBurbank, IL 60459-2412 · (708) 692-8242
Sole ProprietorYes
Enumeration DateApril 11, 2020
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1609495498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WI · 6002189
Definition
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.
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taha Ghouleh's NPI number?

The NPI number for Taha Ghouleh is 1609495498. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Taha Ghouleh located?

Taha Ghouleh practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (708) 692-8242.

What is Taha Ghouleh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Taha Ghouleh was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.