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Contact Us

Please provide the following information to help us process your request. Required fields are indicated with an asterisk (*).

1. Coverage Information: 

  *State of Your Company's Headquarters:
  *Your Dental Plan:  Delta Dental Premier
 Delta Dental PPO
 DeltaCare USA
 Unsure of Coverage 

2. Customer Service Issue/Question: 

  *Message:      
Please Note:
Email is not a secure means of transmitting data. Please do not provide any sensitive personal information (i.e., SSN, Date of Birth).

3. Your Location: 

*Please note that either a city/state combination or zip code is required.
  City:
  State:
- OR -
  Zip Code:

4. How May We Contact You? 

  *First Name:
  Last Name:
  *E-mail:
  Telephone Number:  -   -