Ivan Vigoa

Dentist · Estero, FL

Individual Active NPI

NPI number 1104514827

Practice location

21740 S Tamiami Trl
Estero, FL 33928-2819
Phone
(239) 236-2130

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NPI record

NPI
1104514827
Entity type
Individual (Type 1)
Enumeration date
May 1, 2023
Last updated
August 3, 2026
Certified
August 3, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN30771 FL

Mailing address

3925 NE 23rd Ave
Cape Coral, FL 33909-3437
Phone
(813) 400-6742

About Ivan Vigoa

Ivan Vigoa is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 21740 S Tamiami Trl, Estero, FL 33928-2819. The NPI number 1104514827 was assigned on May 1, 2023 and the record was last updated on August 3, 2026.

Ivan Vigoa lists a license in the registry: #DN30771 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ivan Vigoa?

The NPI number is 1104514827.

What is the phone number of Ivan Vigoa?

The phone number listed for the practice location is (239) 236-2130.

Where is Ivan Vigoa located?

21740 S Tamiami Trl, Estero, FL 33928-2819.

What is the taxonomy code for Ivan Vigoa?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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