Healthcare Provider Details

I. General information

NPI: 1093166456
Provider Name (Legal Business Name): STEPHEN DINGLEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST STE 503
FOUNTAIN HILL PA
18015-1153
US

IV. Provider business mailing address

701 OSTRUM ST STE 503
FOUNTAIN HILL PA
18015-1153
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS021441
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036.156743
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: