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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CHARLES FREDRICK EBSWORTH D.D.S.
NPI 1023071149
Dentist - General Practice in Lake Forest Park, WA

Active since April 10, 2006
17191 BOTHELL WAY NE, SUITE 201, LAKE FOREST PARK, WA 98155(206) 362-0152(206) 365-3441 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Fredrick Ebsworth D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES FREDRICK EBSWORTH D.D.S. (NPI 1023071149) is an individual general practice provider in Lake Forest Park, Washington, licensed in Washington (4073) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1023071149
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. CHARLES FREDRICK EBSWORTHCredential: D.D.S.
Location Address17191 BOTHELL WAY NE, SUITE 201Lake Forest Park, WA 98155-5534
Mailing Address17191 Bothell Way Ne, Suite 201Lake Forest Park, WA 98155-5534 · (206) 362-0152 · Fax (206) 365-3441
Phone(206) 362-0152
Fax(206) 365-3441
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1023071149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 4073
Definition
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.
17191 BOTHELL WAY NE, Lake Forest Park, WA 98155
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN LYNNE MILLER MD
Internal Medicine
17191 BOTHELL WAY NE, SUITE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
FRED EBSWORTH DDS PS
Clinic/Center (Dental)
17191 BOTHELL WAY NE, SUITE 201
LAKE FOREST PARK, WA 98155
King County (206) 362-0152
LESLIE S NEWTON MD
Family Medicine
17191 BOTHELL WAY NE, STE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
ROBYN PHILLIPS-MADSON DO
Family Medicine
17191 BOTHELL WAY NE, STE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
MS. REBECCA LYNN OLSON ARNP
Nurse Practitioner (Family)
17191 BOTHELL WAY NE, SUITE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
X-CEL ENTERPRISES, INC.
Clinic/Center (Physical Therapy)
17191 BOTHELL WAY NE, SUITE B203
LAKE FOREST PARK, WA 98155
King County (206) 367-6069
MS. EMILY PEARSON EASLEY ARNP
Nurse Practitioner (Family)
17191 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
King County (206) 364-8272
AMOY A NG MD
Family Medicine
17191 BOTHELL WAY NE, SUITE 205
LAKE FOREST PARK, WA 98155
King County (206) 364-8272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ebsworth's NPI number?

The NPI number for Charles Ebsworth is 1023071149. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Charles Ebsworth located?

Charles Ebsworth practices at 17191 Bothell Way NE Suite 201, Lake Forest Park, WA 98155. The listed phone number is (206) 362-0152.

What is Charles Ebsworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Charles Ebsworth was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.