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Delta Dental Contact Information
Delta Dental Insurance Company        Delta Dental Insurance Company     Delta Dental Insurance Company
(DDIC) – Alabama                      (DDIC) – Georgia                   (DDIC) – Louisiana
  (See DDIC - Georgia)                  P.O. Box 1809                      (See DDIC – Georgia)
                                        Alpharetta, GA 30023-1809
Delta Dental Insurance Company                                           Delta Dental of Maryland
                                        800-521-2651
(DDIC) – Alaska                                                           (See Delta Dental of Pennsylvania)
                                        www.deltadentalins.com
  (See DDIC - Georgia)                                                    Payer #23166
                                        Payer #94276
Delta Dental of Arizona                                                  Delta Dental of Massachusetts
                                      Hawaii Dental Service
 P.O. Box 4300                                                            P.O. Box 9695
                                       700 Bishop Street, Suite 700
 Phoenix, AZ 85080                                                        Boston, MA 02114-9695
                                       Honolulu, HI 96813
 800-352-6132                                                             800-872-0500
                                       800-232-2533
 www.deltadentalaz.com                                                    www.deltamass.com
                                       www.deltadentalhi.org
 Payer #86027                                                             Payer #04614
                                      Delta Dental of Idaho
Delta Dental of Arkansas                                                 Delta Dental of Michigan
                                       P.O. Box 2870
 P.O. Box 15965                                                           P.O. Box 9085
                                       Boise, ID 83701
 N. Little Rock, AR 72231-5965                                            Farmington Hills, MI 48333-9085
                                       800-356-7586
 800-462-5410                                                             800-524-0149
                                       www.deltadentalid.com
 www.deltadentalar.com                                                    www.deltadentalmi.com
                                       Payer #82029
 Payer #22225                                                             Payer #43090
                                      Delta Dental of Illinois
Delta Dental of California                                               Delta Dental of Minnesota
                                       P.O. Box 5402
 P.O. Box 997330                                                          P.O. Box 59238
                                       Lisle, IL 60532
 Sacramento, CA 95899-7330                                                Minneapolis, MN 55459-0238
                                       800-323-1743
 888-DELTA CS                                                             800-448-3815
                                       www.deltadentalil.com
 888-335-8227                                                             www.deltadentalmn.org
                                       Payer #47598
 DeltaUSA inquiries:                                                      Payer #26004 or 07000
 800-765-6003                         Delta Dental of Indiana
                                                                         Delta Dental Insurance Company
 www.deltadentalca.org                 P.O. Box 9085
                                                                         (DDIC) – Mississippi
 Payer #77777                          Farmington Hills, MI 48333-9085
                                       800-524-0149                        (See DDIC - Georgia)
Delta Dental of Colorado
                                       www.deltadentalin.com             Delta Dental of Missouri
 P.O. Box 173803                       Payer #43090                       P.O. Box 8690
 Denver, CO 80217-3803
                                      Delta Dental of Iowa                St. Louis, MO 63126-0690
 800-610-0201
                                       P.O. Box 919                       800-392-1167
 www.deltadentalco.com
                                       Ankeny, IA 50021                   www.ddpmo.org
 Payer #84056
                                       800-544-0718                       Payer #43090
Delta Dental of Connecticut
                                       www.deltadentalia.com             Delta Dental Insurance Company
 (See Delta Dental of New Jersey)      Payer #CDIA1                      (DDIC) – Montana
 Payer #22189
                                      Delta Dental of Kansas               (See DDIC - Georgia)
Delta Dental of Delaware
                                       1619 N. Waterfront Parkway        Delta Dental of Nebraska
 (See Delta Dental of                  P.O. Box 789769
 Pennsylvania)                                                            P.O. Box 245
                                       Wichita, KS 67278-9769             Minneapolis, MN 55440-0245
 Payer #51022                          800-234-3375                       800-448-3815
Delta Dental of the District of        www.deltadentalks.com              Payer #26004
Columbia                               Payer #9997
                                                                         Delta Dental Insurance Company
 (See Delta Dental of Pennsylvania)   Delta Dental of Kentucky           (DDIC) – Nevada
 Payer #52147                          P.O. Box 242810                     (See DDIC - Georgia)
Delta Dental Insurance Company         Louisville, KY 40224-2810
(DDIC) – Florida                       800-955-2030
  (See DDIC - Georgia)                 www.deltadentalky.com
                                       Payer #54674
                                                                                           www.deltadental.com




Delta Dental of New Jersey            Delta Dental of Oklahoma           Delta Dental of Tennessee
 P.O. Box 222                          P.O. Box 54709                     240 Venture Circle
 Parsippany, NJ 07054                  Oklahoma City, OK 72231-6175       Nashville, TN 37228-1699
 800-452-9310                          800-522-0188                       800-223-3104
 www.deltadentalnj.com Payer           www.deltadentalok.org              www.deltadentaltn.com
 #22189                                Payer #22229                       Payer #CDTN1
Delta Dental of New Mexico            ODS Health Plan                    Delta Dental Insurance Company
 2500 Louisiana Blvd., N.E.            601 SW 2nd Avenue                 (DDIC) – Texas
 Suite 600                             Portland, OR 97204 800-452-1058     (See DDIC - Georgia)
 Albuquerque, NM 87110                 www.deltadentalor.org
                                                                         Delta Dental Insurance Company
 800-999-0963                          Payer #CDOR1
                                                                         (DDIC) – Utah
 www.deltadentalnm.com
 Payer #85022                          Delta Dental of Pennsylvania        (See DDIC - Georgia)
                                       1 Delta Drive                     Delta Dental of Virginia
Delta Dental of New York
                                       Mechanicsburg, PA 17055-6999       4818 Starkey Rd.
 (See Delta Dental of Pennsylvania)
                                       800-932-0783                       Roanoke, VA 24014-4010
 Payer #11198
                                       www.midatlanticdeltadental.com     800-237-6060
Delta Dental of North Carolina         Payer #23166                       www.deltadentalva.com
 343 Six Forks Road, Suite 180                                            Payer #54084
                                      Delta Dental of Puerto Rico
 Raleigh, NC 27609
                                       P.O. Box 9020992                  Washington Dental Service
 800-662-8856
                                       San Juan, PR 00902-0992            P.O. Box 75983
 www.deltadentalnc.org
                                       939-205-3300                       Seattle, WA 98175
 Payer #56101
                                       www.deltapr.com                    800-544-1907
Delta Dental of North Dakota           Payer#660436769                    www.deltadentalwa.com
 P.O. Box 59238                       Delta Dental of Rhode Island        Payer #91062
 Minneapolis, MN 55459-0238
                                       P.O. Box 1517                     Delta Dental of West Virginia
 800-448-3815
                                       Providence, RI 02901-1517          (See Delta Dental of Pennsylvania)
 Payer #26004
                                       800-84-DELTA                       Payer #31096
Northwest Delta Dental (Maine, New     800-843-3582
Hampshire and Vermont)                 www.deltadentalri.com             Delta Dental of Wisconsin
 P.O. Box 2002                         Payer #05029                       P.O. Box 828
 Concord, NH 03302-2002                                                   Stevens Point, WI 54481
                                      Delta Dental of South Carolina      800-236-3712
 800-832-5700
                                       P.O. Box 8690                      www.deltadentalwi.com
 www.nedelta.com
                                       St. Louis, MO 63126-0690           Payer #39069
 Payer #02027
                                       800-392-1167
Delta Dental of Ohio                   Payer #43091                      Delta Dental of Wyoming
 P.O. Box 9085                                                            P.O. Box 29
                                      Delta Dental of South Dakota        Cheyenne, WY 82003-0029
 Farmington Hills, MI 48333-9085
                                       P.O. Box 1157                      800-735-3379
 800-524-0149
                                       Pierre, SD 57501                   www.deltadentalwy.org
 www.deltadentaloh.com
                                       800-627-3961                       Payer #07027
 Payer #43090
                                       Payer #54097



Affiliated Delta Dental Programs
DeltaCare USA                          AARP Dental Insurance               Delta Dental of California Federal
PMI Dental Health                      c/o Delta Dental Insurance          Services
12898 Towne Center Drive               Company                             P.O. Box 537007
Cerritos, CA 90703                     P.O. Box 2059                       Sacramento, CA 95853-7007
866-774-5595                           Mechanicsburg, PA 17055-2059        888-838-8783
www.deltadentalca.org/pmi/             866-261-4275                        www.trdp.org
Payer #DDCA2 – claims                  www.deltadentalins.com/AARP         Payer #DDPFS
Payer #DDCA3 encounters                Payer #AARP1