Provider Demographics
NPI:1023290566
Name:HINIC, PETAR (DDS)
Entity type:Individual
Prefix:DR
First Name:PETAR
Middle Name:
Last Name:HINIC
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2856
Mailing Address - Country:US
Mailing Address - Phone:908-273-5451
Mailing Address - Fax:908-273-9474
Practice Address - Street 1:155 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2856
Practice Address - Country:US
Practice Address - Phone:908-273-5451
Practice Address - Fax:908-273-9474
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DIO24392001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery