Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Vigoa

Individual provider Dentist · NPI 1104514827

Ivan Vigoa is a Dentist in Estero, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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Practice location Address checks out

21740 S Tamiami Trl
Estero, FL 33928-2819
Phone: (239) 236-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN30771 (FL)

Record details

NPI number1104514827
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address3925 Ne 23rd Ave, Cape Coral, FL 33909-3437

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