5 states with the most DSO activity in 2025

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Becker’s has compiled lists of DSO affiliations, openings and acquisitions from each quarter of 2025.

Here are five states with the most DSO activity this year:

California

Henderson, Nev.-based PDS Health opened Azusa Modern Dentistry; Grand Terrace Modern Dentistry; Rocklin Crossings Dentistry; Paseo Dentistry; Genesee Dentists; Dentists of West Sacramento; Greenspot Crossings Dentistry; Fresno Modern Dentistry; Fontana Modern Dentistry; Dentists on Sand Canyon; Santa Fe Springs Modern Dentistry; Long Beach Modern Dentistry; Escondido Modern Dentistry; and Dentists of Santa Clara.

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

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

Phoenix-based Salt Dental Partners opened SoCal Smiles Orthodontics & Pediatric Dentistry in Orange, Calif.

Scottsdale, Ariz.-based Imagen Dental Partners added NW Digital Dentistry and Albert Silvera, DDS.

Sacramento, Calif.-based Straine Dental Management acquired Regents Dental Group.

Irving, Texas-based U.S. Oral Surgery Management partnered with Sierra Foothills Oral & Maxillofacial Surgery and Douglas J. Valentine DDS Oral & Maxillofacial Surgery.

Southlake, Texas-based Allied OMS added TorriMed Oral Surgery and Dental Implants; Bixby Knolls Oral Surgery; and VistaMed Oral and Maxillofacial Surgery.

Salt Lake City-based SPP Dental Partners added its first orthodontic practice, partnering with Hulme Orthodontics.

Florida

Scottsdale, Ariz.-based Imagen Dental Partners affiliated with Alexander Dental.

Henderson, Nev.-based PDS Health added Kissimmee Modern Dentistry; Regency Modern Dentistry; Dentists of Maitland; Dentists On Biscayne; Wildwood Modern Dentistry; Dentists of Hialeah; and Dentists in the Grove.

Effingham, Ill.-based Heartland Dental affiliated with Optimum Dentistry; South Tampa Dentistry; Clearwater Dentistry; New Port Richey Dentistry; Riverview Dentistry; Seminole Dentistry; Tampa Dentistry; Smile Design Dentistry; Davie Dental; and David Green, DDS.

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

Chicago-based Aspen Dental opened locations in DeFuniak Springs and Oviedo.

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

Cumming, Ga.-based OMS360 acquired Winter Haven Oral Surgery.

Eau Claire, Wis.-based Specialty Smile Partners acquired Little Gators Pediatric Dentistry.

ClearChoice Dental Implant Centers opened an office in The Villages.

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 Syosset Dental.

Great Neck, N.Y.-based The Smilist affiliated with Inspire Dental Group.

Chicago-based Aspen Dental opened locations in Harriman and Selden.

Jonesboro, Ark.-based GPS Dental added Prosthodontics of New York.

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

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

Phoenix-based Salt Dental Partners added Sitwell Dental.

Pennsylvania

New Hyde Park, N.Y.-based Dental365 acquired Nataupsky Family Dentistry; Garden Spot Dental Care; Hempfield Dental Care; Kaiser, Rosen & Kurman; Rittenhouse Dentists, Union Dental Health; and Lawrence Dental Group.

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

New Hyde Park, N.Y.-based Leading Edge Specialized Dentistry acquired Main Line Periodontics & Dental Implants in Bryn Mawr, Pa.

Cumming, Ga.-based OMS360 made its first practice addition in Pennsylvania by partnering with Pittsburgh Oral Surgery.

Cincinnati-based Cordental Group added Williamsburg Dental in Broomall.

Texas

Chicago-based Aspen Dental opened locations in Seguin, Nacogdoches, Palestine, Humble, Midlothian, Corsicana and Portland.

Henderson, Nev.-based PDS Health added Harpers Kids’ Dentistry; The Groves Dental Group; Dentists of Belterra and Dentists of Plano.

Dallas-based Smile Doctors completed two expansion acquisitions with affiliated doctors: True Smile Orthodontics and Pendleton Orthodontics.

Dallas-based Apex Dental Partners expanded its network in Texas in November.

Choice Dental Group opened a location in Killeen.

Jenks, Okla.-based Lumio Dental purchased a dental practice in Southlake.

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; Kerrville Oral and Maxillofacial Surgery; and Parkway Oral Surgery & Dental Implant Center.

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

Chicago-based Phase 1 Equity added a Texas orthodontic practice to its network.

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.

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