Eung Jun Im, PHD, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858996 Issued in MA

Practice address

156 Dudley St
Roxbury, MA 02119-3232

Phone

(617) 445-7050

NPI assigned

May 27, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hugo & Tate PC

  • Dental Clinic/Center
  • Roxbury, MA
  • NPI 1174243042
  NPD Authorized official
• Impress Dental Waltham P.C.

  • Dental Clinic/Center
  • Waltham, MA
  • NPI 1417837477
  NPD Authorized official
• Shoe City Family Dental PC

  • Dental Clinic/Center
  • Haverhill, MA
  • NPI 1487267282
  NPD
• Craig P Hornung DMD PC

  • Dental Clinic/Center
  • Rockport, MA
  • NPI 1922741206
  NPD (past)
• Dr. Suresh K Naidu DDS

  • Dentist
  • Roxbury, MA
  • NPI 1417117987
  NPD (past)
• Rockport Family Dental PC

  • Dentist
  • Rockport, MA
  • NPI 1336562586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1366018657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 NORTH RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301016",
            "telephone_number": "857-231-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 DUDLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193232",
            "telephone_number": "617-445-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Merrimack St",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306208",
            "country_code": "US",
            "telephone_number": "978-971-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IM",
        "first_name": "EUNG JUN",
        "name_prefix": "Dr.",
        "credential": "PHD, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hurtado, M.D.
• Lindsay Digiovanni Hussey, RNNP
• Jennifer Veronica Hutley
• I and H Inc
• Uju Ilechukwu
• Lisa M. Ingravera, EDM
• Inner Growth Therapy LLC
• Charles L Israel II
• Jude Iwu
• Jessica Oluchi Iwueze

• Dentist in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.