Individual provider Active NPI

Ashley Nicole Connolly, RDH

  • Dental Hygienist
  • Hermon, ME
National Provider Identifier
1184154684
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDH4068 Issued in ME
Practice address
29 Stoneybrook Way
Hermon, ME 04401-0553
Phone
(207) 214-3145
NPI assigned
Jun 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X RDH4068 ME Primary

Addresses

Primary practice location

29 Stoneybrook Way
Hermon, ME 04401-0553

Mailing address

29 Stoneybrook Way
Hermon, ME 04401-0553
Phone (207) 214-3145

Other identifiers 1

IdentifierTypeStateIssuer
DH4068OtherMEREGISTERED DENTAL HYGIENEST, MAINE STATE DENTAL BOARD

Other names 1

  • Mrs. Ashley Nicole Connolly Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RDH4068MEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Dental Hygiene LLC Dental Hygienist CurrentSince Aug 4, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1184154684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 STONEYBROOK WAY",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010553",
            "telephone_number": "207-214-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 STONEYBROOK WAY",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010553",
            "telephone_number": "207-214-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-16",
        "last_updated": "2025-09-12",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH4068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DENTAL HYGIENEST, MAINE STATE DENTAL BOARD",
            "identifier": "DH4068",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CONNOLLY",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hermon, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.