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Create a User Name

If you are enrolled in Delta Dental Patient Direct but have not previously registered for an online account you need to create a user name and password to access.

Please enter the information below to lookup your membership and create a user name and password for your online account.
Member Lookup
SSN: *    
ex: 000121234
DOB: *    
ex: mm/dd/yyyy
Last Name:


* Required Fields


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