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Fred Ebsworth Dds Ps

Clinic/Center - Dental

CHARLES EBSWORTH
NPI: 1104061969Lake Forest Park, Washington, 98155(206) 362-0152

About Fred Ebsworth Dds Ps

Fred Ebsworth Dds Ps is a healthcare organization providing Clinic/Center - Dental services, with specialized expertise in Dental, registered under National Provider Identifier (NPI) number 1104061969.

The authorized official for Fred Ebsworth Dds Ps is CHARLES EBSWORTH. The organization is headquartered at 17191 BOTHELL WAY NE, Lake Forest Park, Washington 98155. The main office can be reached at (206) 362-0152.

Fred Ebsworth Dds Ps has been NPI-registered since 2008.

Locations & Contact

Primary Location

Address
17191 BOTHELL WAY NE
City
Lake Forest Park
State
Washington
ZIP
98155-5534
Phone
(206) 362-0152
Fax
(206) 365-3441
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Authorized Official

Name
CHARLES EBSWORTH

Mailing Address

Address
17191 BOTHELL WAY NE
City
LAKE FOREST PARK
State
WA
ZIP
981555534

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center - Dental
Classification
Clinic/Center
Specialization
Dental
Taxonomy Code
261QD0000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Fred Ebsworth Dds Ps's NPI number?
Fred Ebsworth Dds Ps's National Provider Identifier (NPI) is 1104061969. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Fred Ebsworth Dds Ps specialize in?
Fred Ebsworth Dds Ps specializes in Clinic/Center - Dental.
Where is Fred Ebsworth Dds Ps located?
Fred Ebsworth Dds Ps practices at 17191 BOTHELL WAY NE, Lake Forest Park, Washington 98155. You can reach them by phone at (206) 362-0152.
Does Fred Ebsworth Dds Ps accept Medicare?
Based on available data, Fred Ebsworth Dds Ps is not currently enrolled in the Medicare program.
Does Fred Ebsworth Dds Ps offer telehealth or virtual visits?
Fred Ebsworth Dds Ps does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Fred Ebsworth Dds Ps holds NPI 1104061969, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.