Individual
GIANCARLO AGNELLO SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 ASYLUM AVE STE 3200, HARTFORD, CT 06105-1702
(860) 714-5782
Mailing address
83 WESTLAND AVE, WEST HARTFORD, CT 06107-2731
(410) 419-4540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2.014408
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2025
Last updated
06/01/2026
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