Top 9 largest DSOs heading into 2023

Here are nine of the largest DSOs in the U.S. by number of affiliated or supported practices.

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Contact Ariana Portalatin at aportalatin@beckershealthcare.com with questions or updates for this list.

1. Heartland Dental — More than 1,650 practices

2. Aspen Dental — More than 1,000 practices

3. Pacific Dental Services — More than 900 practices

4. Smile Brands — Nearly 700 practices

5. MB2 Dental — 500 practices

6. Affordable Care — More than 400 practices

7. Dental Care Alliance — More than 390 practices

8. Great Expressions Dental Centers — 300 practices

9. Western Dental — More than 260 practices 

At the Becker's 5th Annual Future of Dentistry Roundtable, taking place November 12–14 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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