Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charles Fredrick Ebsworth, DDS

Individual provider General Practice Dentistry · NPI 1023071149

Mr. Charles Fredrick Ebsworth, DDS is a General Practice Dentistry in Lake Forest Park, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

17191 Bothell Way NE Ste 201
Lake Forest Park, WA 98155-5534
Phone: (206) 362-0152
Fax: (206) 365-3441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4073 (WA)

Record details

NPI number1023071149
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJuly 13, 2026
Mailing address17191 Bothell Way Ne, Suite 201, Lake Forest Park, WA 98155-5534

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