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
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
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.
O envíe un fax al 717-774-1770
