9 largest DSOs headed into 2024

The top nine largest DSOs in the U.S. support more than 6,700 dental offices combined.

Here are nine 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 1,650 practices

2. The Aspen Group — More than 1,160 practices

3. Pacific Dental Services — Nearly 1,000 practices

4. Smile Brands — Nearly 700 practices

5. MB2 Dental — More than 650 practices

6. Affordable Care — More than 425 practices

7. Dental Care Alliance — More than 400 practices

8. Smile Doctors — More than 415 practices

9. Great Expressions Dental Centers — 300 practices

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