Provider Demographics
NPI:1265467922
Name:PERCER, DAGON J (DPM)
Entity type:Individual
Prefix:DR
First Name:DAGON
Middle Name:J
Last Name:PERCER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CONCORD RD
Mailing Address - Street 2:#300
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2940
Mailing Address - Country:US
Mailing Address - Phone:865-523-5655
Mailing Address - Fax:865-851-9884
Practice Address - Street 1:116 CONCORD RD
Practice Address - Street 2:#300
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2940
Practice Address - Country:US
Practice Address - Phone:865-523-5655
Practice Address - Fax:865-851-9884
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM659213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery