Delta Dental of North Carolina

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Refer Your Dentist

If you have conducted a dentist search through “Delta Dental’s Dentist Search” and found that your dentist is not a participating Delta Dental dentist, please complete the questions below and forward the referral to us via e-mail. Recommendation of your dentist does not always result in network participation. It is each dentist’s decision whether or not to join, and each dentist accepted by Delta Dental must first meet the qualifying criteria established for each program. Thank you for your recommendation.

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I would like the dentist to join:
May we use your name when contacting the dentist:

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