# TAFOLLA AND RIKLI FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peak Vista Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922175793
- **Authorized official:** JEROME TAFOLLA DDS (DENTIST/OWNER)
- **Authorized official phone:** (719) 598-6680

## Contact information

- **Practice address:** 5478 TOMAH DRIVE, COLORADO SPRINGS, CO 80918-1928
- **Practice address phone:** (719) 598-6680
- **Practice address fax:** (719) 598-4037
- **Mailing address:** 5478 TOMAH DRIVE, COLORADO SPRINGS, CO 80918
- **Mailing address phone:** (719) 598-6680
- **Mailing address fax:** (719) 598-4037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 11/07/2018