Healthcare Provider Details

I. General information

NPI: 1518843002
Provider Name (Legal Business Name): OLIVIA GANGMARK STRICKLAND DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SUNSET WAY
HENDERSON NV
89014-2015
US

IV. Provider business mailing address

6655 NE TARA LN
BAINBRIDGE ISLAND WA
98110-4030
US

V. Phone/Fax

Practice location:
  • Phone: 702-968-5222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberLL-588-23
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: