Organization Active NPI

Impress Dental Waltham P.C.

  • Dental Clinic/Center
  • Waltham, MA
National Provider Identifier
1417837477
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IMPRESS DENTAL WALTHAM P.C.
Practice address
2 Winter St Ste 203
Waltham, MA 02451-0960
Phone
(617) 390-5371
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Dr. Eung Jun Im, PHD, DMDNPI 1366018657
Title
President
Phone
(857) 231-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2 Winter St Ste 203
Waltham, MA 02451-0960

Mailing address

396 North Rd
Bedford, MA 01730-1016

National Provider Directory

National Provider Directory

Locations

1864 Centre St
West Roxbury, MA 02132
Phone (617) 390-5371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1417837477",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WINTER ST STE 203",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510960",
            "telephone_number": "617-390-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESS DENTAL WALTHAM P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "EUNG JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-231-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.