Garden Lakes Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GARDEN LAKES DENTISTRY LLC

Practice address

103A Elliott Dr NW
Rome, GA 30165-1103

Phone

(706) 236-9853

NPI assigned

Feb 25, 2025

Organization subpart

No

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

Authorized official

Name

Christy McStotts

Title

Manager

Phone

(706) 236-9853

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1760289052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103A ELLIOTT DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651103",
            "telephone_number": "706-236-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A ELLIOTT DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651103",
            "telephone_number": "706-236-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN LAKES DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MCSTOTTS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-236-9853"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman L Galysh Jr., MD
• Satya Sailaja Bindu Gandrapu Balanaga, MD
• Laura Gann, COTA/L CPAM
• Ricky Vinson Gann, MS, OTR/L
• Kevin Garcia Rosas, DC
• Garden Lakes Pharmacy
• Garden Lakes Pharmacy, Inc.
• Farrah Gardner, NP
• Rahul Garg, MD
• Lindsey Blocker Garmon, NP-C

• General Practice Dentistry in Rome, GA
• Providers in Rome, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.