Dr. Eung Jun Im, PHD, DMD
Dentist in Roxbury, Massachusetts
1366018657- Practice location
- 156 Dudley St, Roxbury, MA 02119-3232
- Phone
- 617-445-7050
- Fax
- —
- Last updated
- September 9, 2025
Eung Jun Im is a Dentist based in Roxbury, MA. Eung Jun Im practices in Roxbury, MA and has the professional credentials of PHD, DMD. The NPI Number for Eung Jun Im is 1366018657 and holds a License No. DN1858996 (MA). The current practice location address for Eung Jun Im is 156 Dudley St, Roxbury, MA 02119-3232 and can be reached out via phone at 617-445-7050.
Provider Profile Details
- NPI Number
- 1366018657
- Provider Name
- Eung Jun Im
- Credential
- PHD, DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 156 Dudley St, Roxbury, MA 02119-3232
- Phone Number
- 617-445-7050
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2021
- Last Update Date
- September 9, 2025
- Certification Date
- September 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 156 Dudley St
Roxbury, MA 02119-3232 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-3232
- Phone Number
- 617-445-7050
Provider Business Mailing Address Details
- Address
- 396 North RD
Bedford, MA 01730-1016 - City
- Bedford
- State
- MA
- Zip
- 01730-1016
- Phone Number
- 857-231-0200
License Information
- License Number
- DN1858996
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Eung Jun Im, PHD, DMD?
The NPI number of Dr. Eung Jun Im, PHD, DMD is 1366018657. It was assigned on May 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Eung Jun Im, PHD, DMD?
Dr. Eung Jun Im, PHD, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1858996.
Where does Dr. Eung Jun Im, PHD, DMD practice?
The practice location is 156 Dudley St, Roxbury, MA 02119-3232. The office can be reached at 617-445-7050 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366018657 directly on the NPPES registry website.