Skip Navigation
This page features a timed image rotator. If you would like to disable it, press enter now.
Skip to Footer Links
A
A
Find a Dentist
About Us
Contact Us
Trading Partner
Request a Quote
Search for:
Massachusetts
(
Select your state
)
Members
Dentists
Employers
Brokers
Dental Plans
Your Oral Health
Dentists
Skip Secondary Navigation
The Brush Up
Understanding networks
Join our networks
National coverage
Contact us
Resources
Frequently asked questions
Web portal registration
Web portal registration
Register a Super User for your office today!
Register
Resources
Provider web portal resources
DDMA Provider web portal
Register for the Provider web portal
Credentialing and recredentialing resources
Submit a credentialing or recredentialing application online with
App Central
Credentialing/Recredentialing print-ready application
Direct Deposit/EFT form
To obtain a W-9 form, visit
IRS.gov
If you have questions or need assistance, contact
providerenrollmentandcontracting@deltadentalmass.com
Service office enrollment resources
For enrollment questions, contact
providerenrollmentandcontracting@deltadentalmass.com
.
You must submit a new contract if you’ve changed your TIN, service office location or business name. Contact
providerenrollmentandcontracting@deltadentalmass.com
for more information.
For questions regarding a TIN or for help completing a W-9 form, please contact the Internal Revenue Service at 800-829-1040 or visit
www.irs.gov
.
Plan and reimbursement information
Review plan and reimbursement information
You will need
Adobe Acrobat
®
Reader
to view these PDF documents.