There were nearly 200 dental practice transactions in the first half of 2026, and dentistry is about one-third consolidated, according to a July 10 report from TUSK Practice Sales.
Here are seven notes on the mergers and acquisitions sector of dentistry:
- At least 175 dental practice locations were sold to DSOs, private equity groups and other buyers in the first half of the year.
- The American Dental Association is projecting consolidation of dentistry to be about 35%.
- The five largest DSOs support more than 5,600 practices between them.
- Dental practice valuations, which are currently about 5x to 9x EBITDA, are expected to compress toward a more conservative 4x to 6x over the next few years.
- Many DSOs are offering deals with 60% to 85% of the total consideration paid as cash at close.
- Provider risk, clinical continuity, declining financial performance and reimbursement exposure are the top reasons why DSOs are walking away from potential deals.
- Notable DSO moves from the first half of 2026 include Affordable Care’s restructuring, Park Dental Partners’ debut on the Nasdaq and a merger between SGA Dental Partners, Gen4 Dental Partners and Modis Dental Partners.
Read the full report here.
At the Becker's 5th Annual Future of Dentistry Roundtable, taking place September 14-15 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.
