Healthcare Provider Details

I. General information

NPI: 1003052051
Provider Name (Legal Business Name): LAILA KAFI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2008
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RICHMOND SQ SUITE 166W
PROVIDENCE RI
02906
US

IV. Provider business mailing address

1 RICHMOND SQ SUITE 166W
PROVIDENCE RI
02906
US

V. Phone/Fax

Practice location:
  • Phone: 401-521-3746
  • Fax: 401-521-3746
Mailing address:
  • Phone: 415-776-1900
  • Fax: 415-776-5504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberRD03149
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number57279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: