Where 3 DSO giants stand halfway through 2023

Heartland Dental, Aspen Dental and Pacific Dental Services are the top three largest DSOs in the U.S.

Here is what each DSO's network size is halfway through the year:

Heartland Dental (Effingham, Ill.)

Locations: 1,650+

States: 38

Aspen Dental (Chicago)

Locations: 1,000+

States: 43

Pacific Dental Services (Irvine, Calif.)

Locations: 940

States: 25

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