Delta claim form

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Delta claim form

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Where to send completed claim forms

All claim forms for your Delta patients should be sent to:

Delta Dental Insurance Company
P.O. Box 1809
Alpharetta, GA
30023-1809

Please follow the instructions below:

First, make sure you have Adobe Acrobat Reader installed on your computer. If you don't have this application, click here for a free download.
View and print the claim form