# ZANE O PALMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619992112
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D-4031 | ID | Yes |
| 1223G0001X | General Practice Dentistry | D8744 | OR | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 10/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D-4031 | DENTAL LICENSE | ID |
| 01 | — | D8744 | DENTAL LICENSE | OR |