Individual provider · Type 1 NPI

Jonathan Yrisarri Stateson, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Fort Sam Houston, TX

NPI number 1326327727 Active

Practice location

2940 Stanley Rd Bldg 2375
Fort Sam Houston, TX 78234-2740

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	26564 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	26564 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1326327727

Jonathan Yrisarri Stateson, DDS's National Provider Identifier is 1326327727, issued on Aug 16, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 7, 2025.