Update Your Information
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).
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Important note: If you change your TIN, you will need to re-register for Online Services with your new TIN.
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, Inc., Delta Dental of the District of Columbia, Delta Dental of New York, Inc., and Delta Dental of West Virginia, Inc.
Or fax to: 717-774-1770