Jeffrey H Wallen D.d.s. P.c. is a Oral and Maxillofacial Dental Clinic in Myrtle Beach, South Carolina. It is located at 1200 48th Ave N Ste 101, Myrtle Beach, SC and its contact number is 843-449-4993. The authorized person for Jeffrey H Wallen D.d.s. P.c. is Dr. Jeffrey Hugh Wallen
who is Owner of the clinic and their contact number is 843-449-4993. The primary license number for Jeffrey H Wallen D.d.s. P.c. is 2959 (Oral and Maxillofacial Surgery) in South Carolina. Jeffrey H Wallen D.d.s. P.c. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Jeffrey H Wallen D.d.s. P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jeffrey H Wallen D.d.s. P.c.
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1200 48th Ave N Ste 101, Myrtle Beach, South Carolina, 29577-5423
Phone:
843-449-4993
Fax:
843-497-0647
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jeffrey Hugh Wallen
Position:
Owner
Contact Number:
843-449-4993
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jeffrey H Wallen D.d.s. P.c. clinic are as mentioned below.
NPI Number:
1134242621
NPI Enumeration Date:
09 Apr, 2007
NPI Last Update On:
05 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey H Wallen D.d.s. P.c. are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
2959
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8998844
Other
North Carolina
North Carolina Mediciad
ZA9905
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jeffrey H Wallen D.d.s. P.c. 1200 48th Ave N Ste 101, Myrtle Beach, South Carolina
Zip:
29577-5423
Phone Number:
843-449-4993
Fax Number:
843-497-0647
Patients can reach Jeffrey H Wallen D.d.s. P.c. at 1200 48th Ave N Ste 101, Myrtle Beach, South Carolina or can call to book an appointment on 843-449-4993. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.