Where the largest DSOs stand halfway through 2025

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The top 10 largest DSOs in the U.S. support roughly 7,350 dental offices combined.

Here are 10 of the largest DSOs and MSOs in the U.S. by number of affiliated or supported dental practices:

Contact Ariana Portalatin at aportalatin@beckershealthcare.com with questions or updates for this list.

1. Heartland Dental — More than 1,800 practices 

2. The Aspen Group — More than 1,300 practices

3. PDS Health — More than 1,000 practices

4. Smile Brands — More than 600 practices

5. MB2 Dental — More than 750 practices

6. Sonrava Health — nearly 600 offices

7. Smile Doctors — More than 550 practices

8. Affordable Care — More than 450 practices 

9. Dental Care Alliance — More than 400 practices

10. Great Expressions Dental Centers — Nearly 300 practices

At the Becker's 5th Annual Future of Dentistry Roundtable, taking place November 12–14 in Chicago, dental leaders and executives will gain insights into emerging technologies, practice growth strategies and the evolving landscape of dental care delivery, with a focus on innovation, patient experience and operational excellence. Apply for complimentary registration now.

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