Healthcare Provider Details

I. General information

NPI: 1487588901
Provider Name (Legal Business Name): BIG COUNTRY AIRWAY SLEEP AND DENTAL SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2107 CONRAD HILTON BLVD
CISCO TX
76437-5129
US

IV. Provider business mailing address

2107 CONRAD HILTON BLVD
CISCO TX
76437-5129
US

V. Phone/Fax

Practice location:
  • Phone: 254-442-0660
  • Fax: 325-455-7969
Mailing address:
  • Phone: 254-442-0660
  • Fax: 325-455-7969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CONE CARROLL RICE III
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 254-442-0660