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

Dr. Tjiska Elaine Conrotto, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1134754187

Dr. Tjiska Elaine Conrotto, DDS is an Oral Surgery in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
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

1441 N 12th St Fl 3
Phoenix, AZ 85006-2837
Phone: (602) 521-5150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D012292 (AZ)

Record details

NPI number1134754187
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 10, 2020
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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