Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366018657 Individual Practitioner Male Practitioner

Dr. Eung Jun Im , PhD, DMD

Dentist • Roxbury, MA

Professional Overview & Biography Verified Profile Summary

Dr. Eung Jun Im, PhD, DMD is a registered healthcare professional specializing in Dentist in Roxbury, MA. Practice services are available at 156 DUDLEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

156 Dudley St

Roxbury, MA 021193232

Telephone 6174457050
Associated Practice Facility / Clinic
🏢 Dr. Suresh K Naidu Dds Facility NPI 1417117987

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Roxbury, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
32 Specialists

Practicing in Roxbury, MA (3030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN1858996

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

103 Merrimack St

Haverhill, MA 018306208

Phone: 9789710060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922154301

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 09, 2025

Registered at 156 DUDLEY ST, ROXBURY, MA 021193232 (Tel: 6174457050)

📍
Updated Practice Location October 22, 2022

Registered at 103 MERRIMACK ST, HAVERHILL, MA 018306208 (Tel: 9789710060)

📍
Updated Business Mailing Address October 22, 2022

Registered at 396 NORTH RD, BEDFORD, MA 017301016 (Tel: 8572310200)

📍
Updated Practice Location July 01, 2021

Registered at 80 MAIN ST, TAUNTON, MA 027802736 (Tel: 5088219041)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Dentist (License #DN1858996 in MA)

NPI Profile Active May 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2021

Registered at 227 MAIN ST, ROCKPORT, MA 019662024 (Tel: 9785463020)

📍
Updated Business Mailing Address May 27, 2021

Registered at 254 AUBURNDALE AVE, AUBURNDALE, MA 024661619 (Tel: 8572310200)

👤
Provider Name / Credentials Updated May 27, 2021

Recorded as EUNG JUN IM, PHD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366018657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2021
Last Update: September 09, 2025
Sole Proprietor: Yes

Mailing Address

396 North Rd

Bedford, MA 017301016

Phone: 8572310200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.