We study empirical Bayes estimation in high-dimensional linear regression. To facilitate computationally efficient estimation of the underlying prior, we adopt a variational empirical Bayes approach, introduced originally in Carbonetto and Stephens (2012) and Kim et al. (2022). We establish asymptotic consistency of the nonparametric maximum likelihood estimator (NPMLE) and its (computable) naive mean field variational surrogate under mild assumptions on the design and the prior. Assuming, in addition, that the naive mean field approximation has a dominant optimizer, we develop a computationally efficient approximation to the oracle posterior distribution, and establish its accuracy under the 1-Wasserstein metric. This enables computationally feasible Bayesian inference; e.g., construction of posterior credible intervals with an average coverage guarantee, Bayes optimal estimation for the regression coefficients, estimation of the proportion of non-nulls, etc. Our analysis covers both deterministic and random designs, and accommodates correlations among the features. To the best of our knowledge, this provides the first rigorous nonparametric empirical Bayes method in a high-dimensional regression setting without sparsity.