Provider Demographics
NPI:1184697633
Name:MCNAUGHTON, CLIFFORD A (MD, DDS)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:A
Last Name:MCNAUGHTON
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
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Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:4400 W 69TH ST
Practice Address - Street 2:STE 1500
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8170
Practice Address - Country:US
Practice Address - Phone:605-322-5700
Practice Address - Fax:605-322-5704
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD47572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD412991046307OtherPREFERRED ONE
SD52454OtherSANFORD HEALTH PLAN
SD57108C031OtherWPS TRICARE
MN040121002OtherPRIMEWEST
SDHP59561OtherHEALTHPARTNERS
ND12200Medicaid
SD244132OtherMIDLANDS CHOICE
NE46022474352Medicaid
SD4757OtherDAKOTACARE
SD4994129OtherBLUE CROSS
MN862323600Medicaid
SDP00302185OtherRR MEDICARE
SD370624200OtherDEPT OF LABOR
MN95G48MCOtherCC SYSTEMS/ BLUE PLUS
IA0720110Medicaid
SD770534OtherARAZ/ AMERICA'S PPO
SD4757OtherDAKOTACARE
NE46022474352Medicaid