IndividualActive
Peter Gostout, DDS
NPI 1336342013 · Dentist · Fort Myers, FL
Provider details
- NPI number
- 1336342013
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN14858 (FL)
Specialties & taxonomies
Dental Providers
Practice location
12691 Mcgregor Blvd Ste 102
Fort Myers, FL 33919-4453
Phone: (239) 482-0429
Approximate (ZIP-level) locationGet directions
Mailing address
2202 Beach Pkwy W
Cape Coral, FL 33914-6169
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.