Delta Dental - Members - Contact Us - Customer Service Contact Form

Please take a moment to complete the requested information. It will help our Customer Service department respond quickly and accurately.
* = Required Fields

If you wish to locate a dentist in Massachusetts, please go straight to our on-line Dentist Directory

1. Please complete the below information to verify a claim payment, and/or coverage limitations.

Subscriber ID number *
###-##-#### (This is a nine digit number located under the member’s name on the Delta Dental ID card.) Please note, in order to protect our member’s privacy, as of June 2007 we no longer use Social Security Number as a Subscriber ID.

Name of member who received care

Date of Service (mm/dd/yyyy)

Group Number *

Subscriber's Name *

Employer's Name

Birth Date (mm/dd/yyyy)

Address *

City *

State *

Zip *

2. Please briefly explain your request.

3. Your telephone number: *

- -

4. Your e-mail address: *