Randall R Penn, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2901012761 Issued in MI

Practice address

8906 Commerce Rd
Ste 1
Commerce TWP, MI 48382

Phone

(248) 363-5900

Fax

(248) 363-4917

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Practice roles

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

• Icare Oral Surgery and Dental Implant Center PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Commerce TWP, MI
  • NPI 1356865174
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649228057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 COMMERCE RD",
            "address_2": "STE 1",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "48382",
            "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": "8906 COMMERCE RD",
            "address_2": "STE 1",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-363-5900",
            "fax_number": "248-363-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "RANDALL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901012761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustine Osagie, MD
• Savanna Bailey Parnell
• Jennifer Anne Parzuchowski, M.A., CCC-SLP
• Makayla Patten
• Michael Shane Peer, PA-C
• Karen Pincheck, CRNA
• Kathryn Pitone-Lipkin, DO
• David E Pulgini, D.D.S.
• Patrick J Qatsha, DDS
• Radiant You Counseling and Consulting Services LLC

• 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 Jul 13, 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.