Individual
DR. SCOTT ANTHONY PASIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
9191 R G SKINNER PKWY UNIT 404, JACKSONVILLE, FL 32256-9659
(904) 443-7000
Mailing address
9191 R G SKINNER PKWY UNIT 404, JACKSONVILLE, FL 32256-9659
(904) 443-7000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
14541
MD
1223P0300X
Periodontics
Primary
DN28662
FL
1223P0300X
Periodontics
DT-2589
HI
Other
Enumeration date
07/06/2009
Last updated
11/14/2025
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