Ready to enroll, it’s easy!
Unlike some dental plan applications, the Delta Dental PPO – Point of Service enrollment process is short and simple. Enroll through the mail by printing and completing the enrollment form below.
Note: Current Delta Dental subscribers and persons currently covered by another dental carrier are not eligible to enroll.
Enrollment form:
Click here to print an enrollment form (84k PDF)
Mail to:
Delta Dental of Oklahoma
Attn: Client Services
PO BOX 54709
Oklahoma City, OK 73154
Fax to:
405-607-2157
Attn: Client Services
Need to update your enrollment?
Moving, need to add dependents to your plan? Please print, complete and send us the form below.
Update form:
Click here to print an update form (84k PDF)
Mail to:
Delta Dental of Oklahoma
Attn: Client Services
PO BOX 54709
Oklahoma City, OK 73154
Fax to:
405-607-2157
Attn: Client Services
If you still have questions, we’ll have the answers. Please feel free to call our friendly customer service department at 877-433-5821.
Click here for a comprehensive benefit summary.