Icare Oral Surgery and Dental Implant Center PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901019256 Issued in MI

Legal business name

ICARE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC

Doing business as

I Care Oral Surgery and Dental Implant Center PLLC

Practice address

2900 Union Lake Rd Ste 105
Commerce TWP, MI 48382-3550

Phone

(248) 363-5900

Fax

(248) 363-4917

NPI assigned

Aug 2, 2017

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Haney, RDH

Title

Managing Employee

Phone

(248) 363-5900

Specialties & licenses 1

Addresses

Other names 1

• I Care Oral Surgery and Dental Implant Center PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall R Penn, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Commerce TWP, MI
  • NPI 1649228057
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1356865174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD STE 105",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823550",
            "telephone_number": "248-363-5900",
            "fax_number": "248-363-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 UNION LAKE RD STE 105",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483823550",
            "telephone_number": "248-363-5900",
            "fax_number": "248-363-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-09-12",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "248-363-5900",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901019256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Care Oral Surgery and Dental Implant Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.