Individual provider · Type 1 NPI

Ivan Vigoa

Dentist · Estero, FL

NPI number 1104514827 Active

Practice location

21740 S Tamiami Trl
Estero, FL 33928-2819

Mailing address

3925 NE 23rd Ave
Cape Coral, FL 33909-3437

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN30771 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104514827

Ivan Vigoa's National Provider Identifier is 1104514827, issued on May 1, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Estero, FL. The record was last updated on Aug 3, 2026.