# SUSAN A. VANSTONE DMD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Grins Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194816553
- **Authorized official:** DR. SUSAN AMANTHA VANSTONE D.M.D., P.S.C. (DOCTOR)
- **Authorized official phone:** (859) 626-9339

## Contact information

- **Practice address:** 1305 LANCASTER RD, RICHMOND, KY 40475-8745
- **Practice address phone:** (859) 626-9339
- **Practice address fax:** (859) 626-9336
- **Mailing address:** 1305 LANCASTER RD, RICHMOND, KY 40475-8745
- **Mailing address phone:** (859) 626-9339
- **Mailing address fax:** (859) 626-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6913 | KY | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020