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Your help in setting up the new Delta Dental Broker Portal is important to make sure it meets your company's needs. To get started, we need to collect a little information on how your business works.
All fields marked with * are required.
For the below contact information, please use your information (the person completing the form). If we have any questions, we will follow-up with you based on your answers below.
The super user is the individual who will be the lead administrator for your company and will have rights to set up all additional users under your Delta Dental Broker Portal account. Please complete the information below for the individual you would like to set up as your super user.
Knowing how your company is set up, will help us determine how to customize the Broker Portal for your business.