5 states with the most DSO activity in Q3

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Florida, South Carolina and Texas are among the states that saw the most DSO activity during the third quarter of 2026.

Becker’s compiled a list of more than 70 DSO affiliations, openings and acquisitions during the third quarter. 

Here is how DSOs expanded in these states:

Florida

  • Effingham, Ill.-based Heartland Dental added Buffalo Run Dental Care; Cherry Elm Dental Care; Citrus Way Dental Care; Duck Creek Dental Care; Denta Smiles; and New Independence Dental Care.
  • Boca Raton, Fla.-based Sage Dental opened practices in Haines City and Clermont. The DSO also acquired nine practices from Monticciolo Family and Sedation Dentistry
  • Henderson, Nev.-based PDS Health opened Nona Modern Dentistry and Dentists on Hancock.
  • Chicago-based Aspen Dental opened a new location in Punta Gorda, Fla.
  • Little Rock, Ark.-based Rock Dental Brands partnered with TLC Pediatric Dentistry & Orthodontics in Tampa.
  • Toronto-based Dentalcorp entered the U.S. market after acquiring Northstar Dental Partners, a 21-practice DSO headquartered in Boca Raton, Fla.

South Carolina

  • Effingham, Ill.-based Heartland Dental added Dental Care on Beaver Run; Driftwood Dental Care; Platt Springs Dental Care; Dental Care at Marketplace; and Seahawk Dental Care.
  • Chicago-based Aspen Dental opened a practice location in Travelers Rest, S.C.
  • Denver-based Lone Peak Dental Group acquired Novus Orthodontics, Carolina Dental Docs and Foster Orthodontics.

Texas

  • Scottsdale, Ariz.-based Imagen Dental Partners added Fossil Creek Family Dentistry; Laughlin Dental; San Antonio Aesthetic & Family Dentistry; and Hearthstone Dental Specialists.
  • Franklin, Tenn.-based Specialized Dental Partners added Texas Roots Endodontics in Fort Worth.
  • Henderson, Nev.-based PDS Health opened Babcock Modern Dentistry.
  • Effingham, Ill.-based Heartland Dental added Dental Care at Harvest.

North Carolina

  • Effingham, Ill.-based Heartland Dental added Forest Valley Dental Care and Parkview Center Dental Care.
  • Chicago-based Aspen Dental opened practices in Selma and Elkin.
  • Franklin, Tenn.-based Specialized Dental Partners partnered with KOS Endodontics in Hickory.
  • Phoenix-based SALT Dental Partners partnered with MyOrthodontist, which has 14 offices in the state.

Georgia

  • Franklin, Tenn.-based Specialized Dental Partners partnered with Dr. Rakesh Raina Endodontics in Duluth.
  • Chesterfield, Mo.-based Oral Surgery Partners partnered with Austin Meadows, DMD, MD, in Columbus.
  • Chicago-based Aspen Dental opened a practice in Perry.
  • Denver-based Lone Peak Dental Group acquired Children’s Dental Center and Novus Orthodontics.

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.

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