Use this tool to securely send us your electronic enrollment by EDI or spreadsheet files. Additionally, if you have other files you want to send securely, you can do so. Note: If you need to send us completed PDF enrollment forms, please use this tool instead.
Monday - Thursday: 7:30 A.M. - 5 P.M.
Friday: 7:30 A.M. - 4:30 P.M.
©Arizona Dental Insurance Service, Inc. dba Delta Dental of Arizona.
Delta Dental of Arizona is a part of Delta Dental Plans Association. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories.
Information provided on this site is for general education purposes only and is not intended as a diagnosis, treatment or a substitute for professional medical or dental advice, diagnosis or treatment. For even more oral health information, check out the Protect My Smile library on the Delta Dental Plans Association website.