Jeffrey H Wallen D.D.S. P.C.
NPI 1134242621 · Oral and Maxillofacial Surgery (Dentist) · Myrtle Beach, SC
Jeffrey H Wallen D.D.S. P.C. is a Oral and Maxillofacial Surgery (Dentist) organization in Myrtle Beach, SC (NPI 1134242621).
Provider details
- NPI number
- 1134242621
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Wallen, Owner(843) 449-4993
- License
- 2959 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2008-06-05
Frequently asked questions
- What is Jeffrey H Wallen D.D.S. P.C.'s NPI number?
- Jeffrey H Wallen D.D.S. P.C.'s National Provider Identifier (NPI) is 1134242621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey H Wallen D.D.S. P.C.?
- Jeffrey H Wallen D.D.S. P.C. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Jeffrey H Wallen D.D.S. P.C. located?
- Jeffrey H Wallen D.D.S. P.C.'s practice location on file with NPPES is 1200 48th Ave N Ste 101, Myrtle Beach, SC 29577-5423.
- What is Jeffrey H Wallen D.D.S. P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Jeffrey H Wallen D.D.S. P.C. is (843) 449-4993.
- Who is the authorized official for Jeffrey H Wallen D.D.S. P.C.?
- The authorized official listed on Jeffrey H Wallen D.D.S. P.C.'s NPPES record is Jeffrey Wallen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey H Wallen D.D.S. P.C.'s NPI active?
- Yes — Jeffrey H Wallen D.D.S. P.C.'s NPI (1134242621) is active in the NPPES registry as of the last update on 2008-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.