Charles Fredrick Ebsworth in Lake Forest Park - General Practice
Charles Fredrick Ebsworth - NPI 1023071149
Charles Fredrick Ebsworth is a General Practice in Lake Forest Park, Washington. Charles Fredrick Ebsworth practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Fredrick Ebsworth is 1023071149. The last update date is 2007-07-08.
Charles Fredrick Ebsworth's current location address is 17191 Bothell Way Ne, Lake Forest Park, Washington. You can contact this provider via phone number 2063620152 and fax number 2063653441. The mailing address for Charles Fredrick Ebsworth is 17191 Bothell Way Ne, Lake Forest Park, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Fredrick Ebsworth |
|---|---|
| Address | 17191 Bothell Way Ne, Lake Forest Park, Washington |
| Phone Number | 2063620152 |
| Fax Number | 2063653441 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1023071149 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17191 Bothell Way Ne |
|---|---|
| City | Lake Forest Park |
| State | Washington (WA) |
| Post Code | 981555534 |
| Phone Number | 2063620152 |
| Fax Number | 2063653441 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4073 |
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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. |
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What is the unique 10-digit identification code issued to Charles Fredrick Ebsworth by the Centers for Medicare & Medicaid Services?
The Charles Fredrick Ebsworth has been assigned the NPI (National Provider Identifier) 1023071149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Charles Fredrick Ebsworth is physically located?
The Charles Fredrick Ebsworth is situated at the following address: 17191 Bothell Way Ne, Lake Forest Park, WA 981555534.
What is Charles Fredrick Ebsworth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Fredrick Ebsworth is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Charles Fredrick Ebsworth receive its 1023071149 assignment?
The Charles Fredrick Ebsworth was assigned its 1023071149 on 2006-04-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Charles Fredrick Ebsworth most recently updated or revised?
The information pertaining to Charles Fredrick Ebsworth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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