Customer Service Inquiry

The administering Delta Dental member company for the state of PA is: Delta Dental of Pennsylvania
Customer Service Phone Number(s):
Mailing Address:
   One Delta Drive
   Mechanicsburg,  PA  17055

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:
 -   -