Charles Fredrick Ebsworth, D.D.S.

General Practice Dentistry · Lake Forest Park, WA

Individual Active NPI

NPI number 1023071149

Practice location

17191 Bothell Way NE
Suite 201
Lake Forest Park, WA 98155-5534
Phone
(206) 362-0152
Fax
(206) 365-3441

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NPI record

NPI
1023071149
Entity type
Individual (Type 1)
Enumeration date
April 10, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4073 WA

About Dr. Ebsworth

Charles Fredrick Ebsworth, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 17191 Bothell Way NE, Suite 201, Lake Forest Park, WA 98155-5534. The NPI number 1023071149 was assigned on April 10, 2006 and the record was last updated on July 13, 2026.

Dr. Ebsworth lists a license in the registry: #4073 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Fredrick Ebsworth, D.D.S.?

The NPI number is 1023071149.

What is the phone number of Dr. Ebsworth?

The phone number listed for the practice location is (206) 362-0152.

Where is Dr. Ebsworth located?

17191 Bothell Way NE, Suite 201, Lake Forest Park, WA 98155-5534.

What is the taxonomy code for Dr. Ebsworth?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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