Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mirette Boushra, DMD

Individual provider Dentist · NPI 1306498035

Dr. Mirette Boushra, DMD is a Dentist in Flossmoor, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

19815 Governors Hwy Ste 7
Flossmoor, IL 60422
Phone: (708) 794-4253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18610 Burnham Ave Ste D, Lansing, IL 60438-3500 — (708) 895-0778

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019032069 (IL)

Record details

NPI number1306498035
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESAugust 10, 2019

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