NPI 1497729396

Jeffrey H Wallen, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Myrtle Beach, SC

Practice location

Address: 1200 48th Ave N Suite 101, Myrtle Beach, SC 29577-5425
Phone: (843) 449-4993
Fax: (843) 497-0647

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2959 (SC)

Other Oral & Maxillofacial Surgery providers in South Carolina →

Registry record

NPI: 1497729396
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.