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 Number (###-##-####) *
Please note, if you have a redacted ID Number, you will need to enter in your actual Subscriber ID Number which is typically your Social Security Number.

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: *

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4. Your e-mail address: *