# FIVE HILLS DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013303783
- **Authorized official:** DR. DANIEL RAY MOSS DDS (PRESIDENT)
- **Authorized official phone:** (254) 542-5750

## Contact information

- **Practice address:** 1005 W HWY 190, COPPERAS COVE, TX 76522
- **Practice address phone:** (254) 542-5750
- **Practice address fax:** (254) 542-4832
- **Mailing address:** 1005 W HWY 190, COPPERAS COVE, TX 76522
- **Mailing address phone:** (254) 542-5750
- **Mailing address fax:** (254) 542-4832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15649 | TX | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 04/09/2015