Delta Dental of North Carolina

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Represent Delta Dental

Becoming an Agent for Delta Dental is quick and easy! First, fill out the following form and fax it to us along with a copy of your current LA&H or A&H license. Then, we will file them for you with the North Carolina Department of Insurance, and we’ll even pay your appointment fees, as well as your agency license, if applicable.

Delta Dental Agent Agreement

Please email all pages of the agreement to Delta Dental, Attn: Agent Services at

Questions? Contact us at (800) 587-9514.

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