California, Florida, New York, Pennsylvania and Texas have seen the most DSO activity so far this year.
Becker’s has published lists of DSO affiliations, openings and acquisitions during the first and second quarter of 2025.
Here are the five states with the most activity, and how DSOs have expanded in these states so far this year:
California
Phoenix-based Salt Dental Partners opened SoCal Smiles Orthodontics & Pediatric Dentistry in Orange, Calif.
Henderson, Nev.-based PDS Health affiliated with Santa Fe Springs (Calif.) Modern Dentistry.
Scottsdale, Ariz.-based Imagen Dental Partners added NW Digital Dentistry in San Luis Obispo, Calif.
Sacramento, Calif.-based Straine Dental Management acquired Regents Dental Group in San Diego.
Irving, Texas-based U.S. Oral Surgery Management partnered with Sierra Foothills Oral & Maxillofacial Surgery, which has four locations in California. It also partnered with Douglas J. Valentine DDS Oral & Maxillofacial Surgery in Grass Valley, Calif.
Scottsdale, Ariz.-based Imagen Dental Partners affiliated with Albert Silvera, DDS, in Beverly Hills, Calif.
Henderson, Nev.-based PDS Health added Long Beach (Calif.) Modern Dentistry, Escondido (Calif.) Modern Dentistry, Dentists of Santa Clara (Calif.).
Southlake, Texas-based Allied OMS added TorriMed Oral Surgery and Dental Implants in Torrance, Calif.; Bixby Knolls Oral Surgery in Long Beach, Calif.; and VistaMed Oral and Maxillofacial Surgery in Vista, Calif.
Salt Lake City-based SPP Dental Partners added its first orthodontic practice, partnering with Hulme Orthodontics in Santa Cruz, Calif.
Florida
Cumming, Ga.-based OMS360 acquired Winter Haven Oral Surgery.
Henderson, Nev.-based PDS Health affiliated with Dentists of Maitland (Fla.).
Eau Claire, Wis.-based Specialty Smile Partners acquired Little Gators Pediatric Dentistry in Winter Gardens, Fla.
Effingham, Ill.-based Heartland Dental added Davie (Fla.) Dental to its network. It also partnered with David Green, DDS, who has two practices in Florida.
Henderson, Nev.-based PDS Health added Dentists On Biscayne in Miami and Wildwood (Fla.) Modern Dentistry. It also added Dentists of Hialeah and Dentists in the Grove in Miami.
ClearChoice Dental Implant Centers opened an office in The Villages.
Chicago-based Aspen Dental opened a location in Oviedo, Fla.
Sarasota, Fla.-based Parkview Dental Partners acquired the office of Douglas Wendt, DDS, and two Lifetime Smiles Dental Care practices.
New York
Dallas-based MB2 Dental added Richard Kobak, DDS, and Emmanuil Diamantakis, DDS, of Syosset (N.Y.) Dental.
Great Neck, N.Y.-based The Smilist affiliated with Inspire Dental Group, a multispecialty practice with three locations in New York.
Chicago-based Aspen Dental opened a location in Harriman, N.Y.
Jonesboro, Ark.-based GPS Dental added Prosthodontics of New York.
Pennsylvania
New Hyde Park, N.Y.-based Leading Edge Specialized Dentistry acquired Main Line Periodontics & Dental Implants in Bryn Mawr, Pa.
New Hyde Park, N.Y.-based Dental365 acquired Kaiser, Rosen & Kurman in Philadelphia. It also added Rittenhouse Dentists, Union Dental Health in Lewisburg, and Lawrence Dental Group in Kingston.
Cumming, Ga.-based OMS360 made its first practice addition in Pennsylvania by partnering with Pittsburgh Oral Surgery.
Irving, Texas-based U.S. Oral Surgery Management partnered with Beaudry Oral & Maxillofacial Surgery in Camp Hill.
Cincinnati-based Cordental Group added Williamsburg Dental in Broomall.
Texas
Brentwood, Tenn.-based Innovate 32 partnered with Fort Bend Dental in Houston.
Scottsdale, Ariz.-based Imagen Dental Partners added Medical Center Dental in Houston to its network.
Henderson, Nev.-based PDS Health added Dentists of Belterra in Austin, Texas, and Dentists of Plano (Texas).
Chicago-based Phase 1 Equity added a Texas orthodontic practice to its network.
Chicago-based Aspen Dental opened practices in Corsicana and Portland, Texas.
Sacramento, Calif.-based Straine Dental Management partnered with Robert Leedy, DDS, in Abilene, Texas, and Jim Lippian, DDS, in Texarkana, Texas.
Dallas-based MB2 Dental partnered with Andre Yassa, DDS, and Jason Costa, DDS, owners of Killeen Family Dentistry. The company also opened a practice location in Cypress, Texas.
Irving, Texas-based Specialized Dental Partners added San Gabriel Oral & Maxillofacial Surgery.
Ideal Dental opened a practice location in Webster.
Southlake, Texas-based Allied OMS added Parkway Oral Surgery & Dental Implant Center in Houston.