9 largest DSOs headed into 2024

The top nine largest DSOs in the U.S. support more than 6,700 dental offices combined.

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

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

1. Heartland Dental — More than 1,650 practices

2. The Aspen Group — More than 1,160 practices

3. Pacific Dental Services — Nearly 1,000 practices

4. Smile Brands — Nearly 700 practices

5. MB2 Dental — More than 650 practices

6. Affordable Care — More than 425 practices

7. Dental Care Alliance — More than 400 practices

8. Smile Doctors — More than 415 practices

9. Great Expressions Dental Centers — 300 practices

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