Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stanley Makoto Jitsumyo, DDS

Individual provider General Practice Dentistry · NPI 1639277627

Dr. Stanley Makoto Jitsumyo, DDS is a General Practice Dentistry in Clovis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

200 W Bullard Ave Ste D-3
Clovis, CA 93612-7610
Phone: (559) 298-6684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 27441 (CA)

Record details

NPI number1639277627
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 8, 2007

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