Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023071149 Individual Practitioner Male Practitioner

Dr. Charles Fredrick Ebsworth , DDS

Dentist - General Practice • Lake Forest Park, WA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Ebsworth, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lake Forest Park, WA. Practice services are available at 17191 BOTHELL WAY NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17191 Bothell Way Ne
Suite 201

Lake Forest Park, WA 981555534

Telephone 2063620152
Fax 2063653441
Associated Practice Facility / Clinic
🏢 Lake Forest Park Clinic Tr Facility NPI 1548222102

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Forest Park, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Lake Forest Park, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 4073

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Karen Miller , MD

Internal Medicine

NPI 1093918195

Doctor of Medicine (M.D.)

Dr. Leslie Newton , MD

Family Medicine

NPI 1124024476

Doctor of Medicine (M.D.)

NPI 1184620429

Doctor of Osteopathic Medicine (D.O.)

Rebecca Olson , ARNP

Nurse Practitioner - Family

NPI 1184727117

Advanced Registered Nurse Practitioner

Emily Easley , ARNP

Nurse Practitioner - Family

NPI 1447676218

Advanced Registered Nurse Practitioner

Dr. Amoy Ng , MD

Family Medicine

NPI 1497751721

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 17191 BOTHELL WAY NE, SUITE 201, LAKE FOREST PARK, WA 981555534 (Tel: 2063620152)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17191 BOTHELL WAY NE, SUITE 201, LAKE FOREST PARK, WA 981555534 (Tel: 2063620152)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES EBSWORTH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4073 in WA)

🟢
Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Charles Ebsworth. Be the first to share your experience!

Sign in to leave a review for Dr. Charles Ebsworth

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1023071149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

17191 Bothell Way Ne, Suite 201

Lake Forest Park, WA 981555534

Phone: 2063620152

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.