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DR. MIRETTE BOUSHRA DMD
NPI 1306498035
Dentist in Flossmoor, IL

Active since July 12, 2019
19815 GOVERNORS HWY STE 7, FLOSSMOOR, IL 60422(708) 794-4253 Get Directions Write a Review

NPPES record last updated: August 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2019, Jul 12, 2019 (2 updates tracked since 2019).

About Dr. Mirette Boushra Dmd NPPES

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

DR. MIRETTE BOUSHRA DMD (NPI 1306498035) is an individual dentist in Flossmoor, Illinois, licensed in Illinois (019032069) and active in the NPI registry since July 2019. She maintains a secondary practice location in Lansing.

NPPES Registry Identity

NPI1306498035
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MIRETTE BOUSHRACredential: DMD
Location Address19815 GOVERNORS HWY STE 7Flossmoor, IL 60422
Mailing Address19815 Governors Hwy Ste 7Flossmoor, IL 60422-4388
Phone(708) 794-4253
Sole ProprietorNo
Enumeration DateJuly 12, 2019
Last NPPES UpdateAugust 10, 20192 updates tracked since enumeration
✔ NPI 1306498035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019032069
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
19815 GOVERNORS HWY STE 7, Flossmoor, IL 60422
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Secondary Practice Location 1

Location 118610 Burnham Ave Ste DLansing, IL 60438-3500 · Phone (708) 895-0778

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL ANAST DENTAL PLLC
Dentist (General Practice)
19815 GOVERNORS HWY STE 7
FLOSSMOOR, IL 60422
Cook County (708) 799-7800
NI VAN DMD
Dentist (General Practice)
19815 GOVERNORS HWY STE 7
FLOSSMOOR, IL 60422
Cook County (708) 794-4253

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 Mirette Boushra's NPI number?

The NPI number for Mirette Boushra is 1306498035. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Mirette Boushra located?

Mirette Boushra practices at 19815 Governors Hwy Ste 7, Flossmoor, IL 60422. The listed phone number is (708) 794-4253.

What is Mirette Boushra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mirette Boushra accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mirette Boushra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mirette Boushra was last updated on August 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.