Unlike some dental plan applications, the Delta Dental PPO – Point of Service enrollment process is short and simple. Enroll through the mail or by fax by printing and completing the enrollment form below.

If you provide proof of previous comparable coverage and apply within 60 days, we will review your previous coverage and, in most cases, waive certain waiting periods.

Notes:

Current Delta Dental subscribers and persons currently covered by another dental carrier are not eligible to enroll. Your first month's premium is deducted immediately upon enrollment.

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 73154-1709

Fax to:
405-607-2157
Attn: Client Services



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 73154-1709

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 800-522-0188.

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