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Jeffrey H Wallen D.D.S. P.C.

Oral and Maxillofacial Surgery (Dentist) in Myrtle Beach, SC · enumerated 2007 · authorized official Jeffrey Wallen, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134242621

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Registry record

Entity type Organization (Type 2)
Legal business name Jeffrey H Wallen D.D.S. P.C.
Practice address 1200 48th Ave N Ste 101, Myrtle Beach, SC, 29577
Fax (843) 497-0647
Enumeration date Apr 9, 2007
Last updated in NPPES Jun 5, 2008

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 2959 (SC) Primary

Authorized official

Name Jeffrey Wallen
Title Owner

Other identifiers

Identifier Type State Issuer
8998844 Other NC NORTH CAROLINA MEDICIAD
ZA9905 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Jeffrey H Wallen D.D.S. P.C.?
NPPES lists Jeffrey Wallen (Owner) as the authorized official for this organization.
What is the NPI number for Jeffrey H Wallen D.D.S. P.C.?
The NPI for Jeffrey H Wallen D.D.S. P.C. is 1134242621, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-05.