6 states with the most DSO activity in Q3

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California, Florida, Texas and Ohio saw the most DSO activity during the third quarter of 2025.

Becker’s recently compiled a list of more than 80 DSO affiliations, openings and acquisitions during the third quarter. 

Here is how DSOs expanded in these states:

California: 12

Henderson, Nev.-based PDS Health opened Azusa (Calif.) Modern Dentistry; Grand Terrace (Calif.) Modern Dentistry; Rocklin (Calif.) Crossings Dentistry; Paseo Dentistry in Carlsbad, Calif.; Genesee Dentists in San Diego; Dentists of West Sacramento (Calif.); Greenspot Crossings Dentistry in Highland, Calif.; Fresno (Calif.) Modern Dentistry; Fontana (Calif.) Modern Dentistry; and Dentists on Sand Canyon in Santa Clarita, Calif.

Chicago-based Aspen Dental opened offices in Palm Springs and Santa Maria, Calif.

Chicago-based Phase 1 Equity added its first California practice.

Texas: 11

Southlake, Texas-based Allied OMS expanded into the Greater Austin market by partnering with Heart of Texas Oral Surgery. It also added Kerrville (Texas) Oral & Maxillofacial Surgery, North Austin Oral Surgery and Kerrville Oral and Maxillofacial Surgery.

Chicago-based Aspen Dental opened an office in Humble, Texas.

Metairie, La.-based Smilebliss Orthodontics added six locations in the Dallas-Fort Worth area of Texas.

Ohio: 9

Henderson, Nev.-based PDS Health opened Gahanna (Ohio) Modern Dentistry.

Chicago-based Phase 1 Equity added its first Ohio practice.

New Hyde Park, N.Y.-based Dental365 acquired six dental practices in Toledo, Maumee, Oregon, Alliance, Akron and Louisville, Ohio.

Phoenix-based Salt Dental Partners added Empire Dental Specialty Group in Beavercreek and West Chester, Ohio.

Pennsylvania: 7

New Hyde Park, N.Y.-based Dental365 acquired Nataupsky Family Dentistry in Kingston, Pa.; Garden Spot Dental Care in New Holland, Pa.; and Hempfield Dental Care in Lancaster, Pa.

Irving, Texas-based U.S. Oral Surgery Management added Snyder & Dugan Oral and Maxillofacial Surgery.

Hackensack, N.J.-based MAX Surgical Speciality Management added two new practices in Pennsylvania.

Chicago-based Phase 1 Equity made its first addition in Pennsylvania. 

Florida: 5

Henderson, Nev.-based PDS Health opened Regency Modern Dentistry in Jacksonville and Dentists of Kissimmee.

Effingham, Ill.-based Heartland Dental added Smile Design Dentistry, which supports 60 offices in Florida.

Boca Raton, Fla.-based Sage Dental acquired The Dental Group in Oakland Park, Fla.

Chicago-based Aspen Dental opened a location in DeFuniak Springs, Fla.

Charlotte, N.C.-based Flagship Specialty Partners partnered with South Florida Dental Implant & Facial Surgery Center in Fort Lauderdale, Fla.

New York: 5

Danbury, Conn.-based Archway Dental Partners partnered with Advanced Dentistry of Scarsdale and Advanced Dentistry of Chappaqua in New York. 

Chicago-based Aspen Dental opened an office in Selden, N.Y.

Irving, Texas-based U.S. Oral Surgery Management added Panossian Oral & Maxillofacial Surgery.

Phoenix-based Salt Dental Partners added Sitwell Dental, which has four locations in New York.

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