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

Jeffrey H Wallen DDS PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1134242621

Jeffrey H Wallen DDS PC is an Oral and Maxillofacial Surgery (Dentist) in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 48th Ave N Ste 101
Myrtle Beach, SC 29577-5423
Phone: (843) 449-4993
Fax: (843) 497-0647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2959 (SC)

Record details

NPI number1134242621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Wallen — Owner · (843) 449-4993
NPI enumeratedApril 9, 2007
Last updated in NPPESJune 5, 2008
Mailing address1200 48th Ave N Ste 101, Myrtle Beach, SC 29577-5423

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