1. Home
  2. Directory
  3. Washington
  4. Lynden
  5. Denturist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DEREK T PAWLAK LD
NPI 1477548766
Denturist in Lynden, WA

Active since September 13, 2005
161 BAY LYN DR, LYNDEN, WA 98264(360) 318-0880(360) 318-0880 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek T Pawlak Ld NPPES

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

MR. DEREK T PAWLAK LD (NPI 1477548766) is an individual denturist in Lynden, Washington, licensed in Washington (025108DN00000270) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1477548766
Entity TypeIndividualMale
Primary Taxonomy122400000X
Provider Legal NameMR. DEREK T PAWLAKCredential: LD
Location Address161 BAY LYN DRLynden, WA 98264-9404
Mailing Address161 Bay Lyn DrLynden, WA 98264-9404 · (360) 318-0880 · Fax (360) 318-0880
Phone(360) 318-0880
Fax(360) 318-0880
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1477548766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in WA · 025108DN00000270
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
161 BAY LYN DR, Lynden, WA 98264
Open in Google Maps ↗

Other Identifiers 2

Other025108DN00000270WA · Dept Of Health
Medicaid5036017WA

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 Derek Pawlak's NPI number?

The NPI number for Derek Pawlak is 1477548766. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Derek Pawlak located?

Derek Pawlak practices at 161 Bay Lyn Dr, Lynden, WA 98264. The listed phone number is (360) 318-0880.

What is Derek Pawlak's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Derek Pawlak 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 28 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.