Active NPI
Carla Guzman Stappenbeck, D.D.S.
- Pediatric Dentistry
- Pooler, GA
National Provider Identifier
1245447366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN014741
- Practice address
- 120 Towne Center Dr Ste 500
Pooler, GA 31322-2034 - Phone
- (912) 376-9296
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN014741 | GA | Primary |
Addresses
Primary practice location
120 Towne Center Dr Ste 500
Pooler, GA 31322-2034
Mailing address
120 Towne Center Dr Ste 500
Pooler, GA 31322-2034
Phone (912) 376-9296
Other names 1
- Carla Monique Guzman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014741 | GA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carla G Stappenbeck DDS LLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Pooler, GA
- NPI 1396122834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1245447366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 TOWNE CENTER DR STE 500",
"city": "POOLER",
"state": "GA",
"postal_code": "313222034",
"telephone_number": "912-376-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 TOWNE CENTER DR STE 500",
"city": "POOLER",
"state": "GA",
"postal_code": "313222034",
"telephone_number": "912-376-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPPENBECK",
"first_name": "CARLA",
"middle_name": "GUZMAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN014741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "GUZMAN",
"middle_name": "MONIQUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.