Individual
LILLIAN NACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10925 ANTIOCH RD STE 201, OVERLAND PARK, KS 66210-2119
(913) 491-1200
Mailing address
10925 ANTIOCH RD STE 201, OVERLAND PARK, KS 66210-2119
(913) 491-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2026022104
MO
1223G0001X
General Practice Dentistry
Primary
62365
KS
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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