Individual provider · Type 1 NPI

Jeffrey H. Wallen, DDS

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

NPI number 1497729396 Active

Practice location

1200 48th Ave N, Suite 101
Myrtle Beach, SC 29577-5425

Fax (843) 497-0647

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X2959 (SC)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1497729396

Jeffrey H. Wallen, DDS's National Provider Identifier is 1497729396, issued on Feb 15, 2006. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 13, 2026.