Customer Service Inquiry

The administering Delta Dental member company for the state of KS is: Delta Dental of Kansas
Customer Service Phone Number(s):
Mailing Address:
   P.O. Box 789769
   Wichita,  KS  67278-9769

Please feel free to contact this member company by entering and sending the information in the form below. Required fields are indicated with an asterisk (*).

Note: Please do not include protected health information when using this form.

1. What is it that you are inquiring about? 

2. Patient Information

First Name:
Last Name:
Group No:
Claim No:
3. Who should we respond to?

*First Name:
Middle Initial:
*Last Name:
Subscriber ID No:
4. What Employer/Group provides your dental benefits?

Employer/Group Name:
5. Where are you located?

Street Address:
Street Address 2:
*Zip Code:
6. How may we contact you?

*Daytime Phone:
 -   - 
Evening Phone:
 -   -