4k Dentistry PLLC
Dentist, Oral and Maxillofacial Surgery in Katy, TX. Organization (NPI-2).
NPI number1245772995
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1245772995
- Entity type
- Organization (NPI-2)
- Legal business name
- 4k Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2016
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | 32432 | TX |
Other names
- 4k Dentistry (Doing Business As)
Practice location
21434 Provincial BlvdKaty, TX 77450-7587
Phone 281-398-4369 · Fax 281-398-4328
Mailing address
21434 Provincial BlvdKaty, TX 77450-7587
Phone 281-398-4369 · Fax 281-398-4328
Authorized official
Anthony Olulaja Olayiwola Kofoworola-Kuti
Clinical Director
3363549314
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