# 4K DENTISTRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** 4K Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245772995
- **Authorized official:** DR. ANTHONY OLULAJA OLAYIWOLA KOFOWOROLA-KUTI DMD; MPH; BDS; CCRC (CLINICAL DIRECTOR)
- **Authorized official phone:** (336) 354-9314

## Contact information

- **Practice address:** 21434 PROVINCIAL BLVD, KATY, TX 77450-7587
- **Practice address phone:** (281) 398-4369
- **Practice address fax:** (281) 398-4328
- **Mailing address:** 21434 PROVINCIAL BLVD, KATY, TX 77450-7587
- **Mailing address phone:** (281) 398-4369
- **Mailing address fax:** (281) 398-4328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 32432 | TX | — |

## Other

- **Enumeration date:** 11/11/2016
- **Last updated:** 09/04/2026