Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477548766 Individual Practitioner Male Practitioner

Derek T Pawlak , LD

Denturist • Lynden, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Derek Pawlak, LD is a registered healthcare professional specializing in Denturist in Lynden, WA. Official NPI practice address is registered at 161 BAY LYN DR.

Practice Location & Contact Primary Location

Practice Address

161 Bay Lyn Dr

Lynden, WA 982649404

Telephone 3603180880
Fax 3603180880

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Lynden, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lynden, WA (204 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

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License WA 025108DN00000270

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5036017 (WA)
Commercial Insurance / Payer ID Dept Of Health
025108DN00000270 (WA)

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 161 BAY LYN DR, LYNDEN, WA 982649404 (Tel: 3603180880)

📍
Updated Business Mailing Address July 08, 2007

Registered at 161 BAY LYN DR, LYNDEN, WA 982649404 (Tel: 3603180880)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEREK PAWLAK, LD

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

Denturist (License #025108DN00000270 in WA)

🟢
Initial NPI Registration & Enumeration September 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477548766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

161 Bay Lyn Dr

Lynden, WA 982649404

Phone: 3603180880

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.