Update Your Information
Let us know in writing when you change your address; sell, buy, open or close an office; and/or change your Tax Identification Number (TIN).
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How to Submit
Mail or fax completed forms to your local Delta Dental:
Delta Dental of California
Or fax to: 916-852-8995
Delta Dental Insurance Company
For the states of Alabama, Florida, Georgia, Louisiana, Mississippi, Montana, Nevada, Texas and Utah
Or fax to: 770-641-5395
(includes Delta Dental of Pennsylvania (Pennsylvania and /Maryland), Delta Dental of Delaware, Delta Dental of the District of Columbia, Delta Dental of New York, and Delta Dental of West Virginia)
Or fax to: 717-774-1770