npidexNPI registry + Medicare data

JEFFREY WALLEN, DDS

Oral & Maxillofacial Surgery (D.M.D.) · MYRTLE BEACH, SC

Individual Active Opted out of Medicare NPI 1497729396

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X✓2959SC

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2020-10-01 through 2026-10-01.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in South Carolina

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.