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Beyond the “Elite” DSOs: A Broader Look at Market Consolidation

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When people talk about DSOs, the spotlight is often on the largest “Elite” groups with 75+ locations — and with ~12,000 affiliated practices, it’s easy to see why.

But the numbers tell another story:

  • Mid-Market DSOs (10–74 locations): 7,000+ affiliated practices
  • Small/Emerging DSOs (3–9 locations): 7,000+ affiliated practices
  • Mobile practices: an additional growing segment

Together, the Mid-Market and Small/Emerging DSOs represent a market share that rivals the Elites — underscoring that opportunity, growth, and innovation are happening across every tier of consolidation.

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