Individual provider · Type 1 NPI

Charles Fredrick Ebsworth, DDS

General Practice Dentistry · Lake Forest Park, WA

NPI number 1023071149 Active

Practice location

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

Call (206) 362-0152 Map

Fax (206) 365-3441

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4073 (WA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

14 other providers at this address

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About NPI 1023071149

Charles Fredrick Ebsworth, DDS's National Provider Identifier is 1023071149, issued on Apr 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake Forest Park, WA. The record was last updated on Jul 13, 2026.