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The best way for dentists to decide if and when to join a DSO or MSO could be as simple as talking about it with other people in the industry, according to Andrew Horowitz, DMD, MD. 

When it comes to deciding where to invest, some DSO leaders look to market trends outside the dental industry, like car sales, real estate and travel. 

Effingham, Ill.-based Heartland Dental is the largest DSO in the U.S., supporting more than 1,700 practices. Here are 16 of the company's biggest moves and accomplishments since 2019:

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