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Attention Delta Dental providers: Protect your practice and patient data with multi-factor authentication. As of October 20, 2025, all users will need their password and an additional way to confirm their identity to log in to their Delta Dental of New Jersey account. See how MFA works.
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Customer Service Summer Hours (through Friday, 8/29/2025): Monday through Thursday 8:00 AM – 6:30 PM ET and Friday 8:00 AM - 1:00 PM ET. To view benefit information and claim status at any time, please sign into your account or use our Interactive Voice Response System 24/7 at 1-800-452-9310.

Small Group Forms for Brokers

Easily access and download all the small group forms and applications.

Small Business Dental Plan Forms for 2-50 Enrolled Employees

Easy employer application (PDF, 9 pages, 1,930 KB)
Download our easy group application for 2-50 business

Simple dental employee enrollment (PDF, 1 page, 204 KB)
Download our easy dental group enrollment form for 2-50 business

Simple vision employee enrollment (PDF, 1 page, 204 KB)
Download our easy vision group enrollment form for 2-50 business

Enrollment spreadsheet (Excel)
Download our easy group enrollment spreadsheet guide for 2-50 business