Customer Service Inquiry

The administering Delta Dental member company for the state of WI is: Delta Dental of Wisconsin
 
Customer Service Phone Number(s):
   800-236-3712
   715-344-6087
FAX:
   715-343-7623
E-mail:
   claims@deltadentalwi.com
Mailing Address:
   P.O. Box 828
   Stevens Point,  WI  54481

Please feel free to contact this member company by entering and sending the information in the form below. Required fields are indicated with an asterisk (*).

Note: Please do not include protected health information when using this form.

1. What is it that you are inquiring about? 

*Message:
2. Patient Information

First Name:
Last Name:
Group No:
Claim No:
3. Who should we respond to?

*First Name:
Middle Initial:
*Last Name:
Subscriber ID No:
4. What Employer/Group provides your dental benefits?

Employer/Group Name:
5. Where are you located?

Street Address:
Street Address 2:
City:
*State:
*Zip Code:
Country:
6. How may we contact you?

*E-mail:
*Daytime Phone:
 -   - 
Evening Phone:
 -   -