Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY H WALLEN, DDS
ActiveDR. JEFFREY H WALLEN, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1497729396 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1497729396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2006 (20.516925258472 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2959 (SC)
Practice Information
- Address
-
1200 48TH AVE NSUITE 101MYRTLE BEACH, SC, 295775425Browse SC providers · Browse ZIP 29577
- Phone
- 8434494993
- Fax
- 8434970647
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Other Oral & Maxillofacial Surgery (Physician) Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ASHRAF R HERAM | MD, BDS | 1598927196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.