Delta Dental of New Mexico

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Download Forms

We have made important forms available for download. Don't see what you need? Check out the Member Portal or call Customer Service at (877) 395-9420.

  • Claim Form: 
    Dental Claim Form: To access a dental claim form, please log into Member Portal You can also call Customer Service at (877) 395-9420 or send an email to customerservice@deltadentalnm.com to request a dental claim form.

Mail completed claims to:

Delta Dental of New Mexico
100 Sun Avenue NE, Suite 400
Albuquerque, NM 87109

Automated Phone System Reference

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Copyright © 2023 Delta Dental Plan of New Mexico, Inc.  |  All Rights Reserved  |  100 Sun Avenue NE, Suite 400, Albuquerque, NM 87109  |  (800) 999-0963

Delta Dental of New Mexico 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.

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The 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. Consult your dentist or physician for information or treatment specific to you and your health.

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