Actualice su información

Let us know in writing when you change your address; sell, buy, open or close an office; add a dentist, change your name or specialty and/or change your Tax Identification Number (TIN).

Descargue los formularios

Necesita Adobe Acrobat Reader.

Important note: If you change your TIN, you will need to re-register for Online Services with your new TIN.

Cómo enviarlos

Envíe los formularios completos por correo o por fax a su Delta Dental local:

Delta Dental of California

Delta Dental of California
Attention: Dentist Network Administration and Contracting Department
P.O. Box 537010
SacramentoCA   95853-9926

O envíe un fax al 916-852-8995

Delta Dental Insurance Company

Para los estados de Alabama, Florida, Georgia, Louisiana, Mississippi, Montana, Nevada, Texas y Utah

Delta Dental Insurance Company
Attention: Dentist Network Administration and Contracting Department
P.O. Box 1809
AlpharettaGA   30023-1809

O envíe un fax al 770-641-5395

Región del Atlántico Medio

Includes Delta Dental of Pennsylvania (Pennsylvania and Maryland), Delta Dental of Delaware, Inc., Delta Dental of the District of Columbia, Delta Dental of New York, Inc., and Delta Dental of West Virginia, Inc.

Delta Dental
Attention: Dentist Network Administration and Contracting Department
One Delta Drive
MechanicsburgPA   17055-6999

O envíe un fax al 717-774-1770