10 states with the most DSO activity in 2024

California, Connecticut and Florida are among the states that had the most DSO deals during 2024.

Becker's compiled a list of DSO affiliations, openings and acquisitions from this year. 

Here are 10 DSOs with the most activity in 2024:

California

Dallas-based Beacon Oral Specialists hit 100 offices after partnering with Oral Surgery Partners in Redondo Beach, Manhattan Beach and Westchester.

Irving, Texas-based U.S. Oral Surgery Management added East Bay Oral Surgery, Rocklin Oral Surgery & Dental Implant Center and Encinitas Oral Surgery.

Henderson, Nev.-based PDS Health opened The Dental Office of Winchester and The Dentists of San Juan Capistrano. 

Dallas-based MB2 Dental added Valley View Dental in Castro Valley and Cosmetic and Implant Dentistry of La Jolla.

Scottsdale, Ariz.-based Imagen Dental Partners added North Tahoe Dental and The Dental Wellness Center of Grass Valley.

Cal Dental USA acquired LA Dental Braces.

Morrisville, N.C.-based Affordable Care opened Affordable Dentures & Implants locations in Vista, Kearny Mesa and El Cajon.

Sacramento, Calif.-based Image Specialty Partners added Hulse Orthodontics in Carlsbad.

Sacramento, Calif.-based Straine Dental Management affiliated with Ghina Morad, DMD, in Redwood City.

Coppell, Texas-based Sonrava Health opened an Western Dental and Orthodontics office in Reseda.

Salt Lake City-based SPP Dental Partners added Meadow Vista Dental in Pioneer and Allegra Dental in Tustin.

Houston-based Specialty1 Partners partnered with James S. Minutello, DDS & Regina D. Minutello, DMD, MS, Inc.; and Associates Periodontics & Implant Dentistry in Corona.

Jonesboro, Ark.-based GPS Dental added Clean Smile Dental in Lancaster and Dr. Rosenbaum & Associates in Modesto.

Connecticut

New Hyde Park, N.Y.-based Dental365 acquired Shoreline Dental Associates in Guilford and Brush & Floss Dental Center in Stratford. It also opened a dental facility in Norwalk to house Robert Emilio, D.D.S. & Associates.

Danbury, Conn.-based Archway Dental Partners acquired New Britain Dental Arts.

Sarasota, Fla.-based Dental Care Alliance partnered with the Offices of John G. Fatse, DMD, in Monroe.

Roseland, N.J.-based Abra Health acquired All About Kids Pediatric Dentistry, which has five offices in the state.

Hackensack, N.J.-based Max Surgical Specialty Management partnered with Fairfield Oral Surgery.

Chicago-based Aspen Dental opened a practice location in Mansfield.

Florida

Dallas-based Beacon Oral Specialists hit 100 offices after partnering with Vero Beach Surgical Arts.

Scottsdale, Ariz.-based Imagen Dental Partners added Richard Rogers, DMD; Dream Smile Center; Stickney Dental and Westchase Esthetic Family Dentistry.

Effingham, Ill.-based Heartland Dental partnered with Smiles by Design in Apopka; Vanderbilt Estates Dental in Naples; Ultimate Dental Studio in Port Orange; Sunshine Dental of Gulf Breeze; and South Florida Sedation Dentistry. It also acquired Blue Spring Dental Care in Orange City.

Fort Lauderdale, Fla.-based Vitana Pediatric & Orthodontic Partners affiliated with a multi-location pediatric dental group in Florida.

Jonesboro, Ark.-based GPS Dental added Blue Sky Dental Group in Jacksonville.

Boca Raton, Fla.-based Sage Dental opened offices in South Tampa, Viera, The Villages, St. Johns and Tampa. It also acquired Children’s Dentistry in Tampa and Marietta Dental Group in Jacksonville.

Modis Dental Partners partnered with Pensacola Periodontics and Implant Dentistry.

Nashville, Tenn.-based Endodontic Practice Partners affiliated with Heartland Endodontics in Seabring.

Sacramento, Calif.-based Straine Dental Management added Myers Pediatric Dentistry & Orthodontics, which has locations in Middleburg and Jacksonville.

Irving, Texas-based U.S. Oral Surgery Management added Collier Oral Surgery & Implant Center in North Naples.

Advanced Dental Implant Center, a dental brand supported by Affordable Care, added Dental Implants of Ocala.

Henderson, Nev.-based PDS Health added Dentists at Big Bend in Riverview and Dentists of Vista in Orlando.

Irving, Texas-based Specialized Dental Partners added Endodontic Associates, which has locations in Clearwater, Trinity and Tampa.

Nashville, Tenn.-based Innovate 32 partnered with Marion Dental Group, which has practices in Ocala and The Villages.

Sarasota, Fla.-based Parkview Dental Partners acquired Breezy Dental in Tampa.

Illinois

Toms River, N.J.-based ProSmile acquired Destiny Dental, which has several offices in Illinois.

Jonesboro, Ark.-based GPS Dental added Romeoville Dental Center, Palos Heights Family Dental, West Suburban Oral Healthcare, Taylor Street Dental, and Riverside Dental Center.

Irving, Texas-based Specialized Dental Partners added Millennium Periodontics in Chicago.

Nashville, Tenn.-based Southern Orthodontic Partners added Petty & Bielik Orthodontics in Oak Lawn.

Chicago-based Dentologie opened a location in Oak Park.

Massachusetts

Jonesboro, Ark.-based GPS Dental added Barnstable Dental Associates in Hyannis, Sound Dentistry in New Bedford and Easton Dental Specialists in South Easton.

New Hyde Park, N.Y.-based Dental365 acquired Legacy Dental Services Organization, its second DSO in Massachusetts.

Great Neck, N.Y.-based The Smilist added Hirshberg Wozny Dental Care in Boston and Wellesley. 

Irving, Texas-based Specialized Dental Partners partnered with Life Dental Specialties.

Sharon, Mass.-based Qualitas Dental Partners partnered with an oral surgery group in Boston.

Irving, Texas-based U.S. Oral Surgery Management partnered with Oral & Maxillofacial Surgery Inc. in Brockton.

Dallas-based MB2 Dental added Wiemeyer Dentistry and Contemporary Prosthodontics in Duxbury.

New Jersey

Miami-based Guardian Dentistry Partners partnered with Lu Gan, DMD, and Elizabeth Fox, DMD

Jonesboro, Ark.-based GPS Dental added Chapel Hill Dental Arts in Red Bank.

New Hyde Park, N.Y.-based Dental365 acquired Florham Park Dental Excellence and The Art of Dentistry and Spa in Somerset.

Dallas-based MB2 Dental partnered with Ferguson Dental Associates in Montclair.

Greenwood Village, Colo.-based ClearChoice Dental Implant Centers opened an office in Rochelle Park.

Roseland, N.J.-based Abra Health Group opened a dental and pediatric primary care facility in Newark.

Dental sleep medicine-focused DSO ApZme partnered with Nneka Obi, DDS, in Hackensack.

Great Neck, N.Y.-based The Smilist added Lakeview Dental Care, which has six locations throughout New Jersey.

New York

San Francisco-based Cliff Ridge Specialty Partners acquired Schwartz Orthodontics and Star Smiles, both in Long Island.

New Hyde Park, N.Y.-based Dental365 acquired Queensboro Plaza Dental Care in New York City; Beth Weinstein, DDS, in Huntington; and Joseph Pantaleo, DDS, in Smithtown. It also opened Little Smiles of Port Washington.

Leading Edge Oral Surgery, an oral surgery group under New Hyde Park, N.Y.-based Dental365's network, acquired Eastern Long Island Oral Surgery in Center Moriches.

Dallas-based MB2 Dental added Rockville Centre for Dentistry.

Hackensack, N.J.-based Max Surgical Specialty Management added New York Oral, Maxillofacial and Implant Surgery, which has locations in Scarsdale and Mt. Kisco.

Sarasota, Fla.-based Dental Care Alliance added Gentle Dental World in New York City.

Fort Lauderdale, Fla.-based Vitana Pediatric & Orthodontic Partners partnered with Lemchen Salzer Orthodontics.

Nashville, Tenn.-based Tend opened a practice location in New York City.

Ohio

Jonesboro, Ark.-based GPS Dental added Alex Bell Dental in Centerville.

Scottsdale, Ariz.-based Imagen Dental Partners added Chagrin Family Dental Care in Chagrin Falls and Elements Dental in Johnstown.

Cincinnati-based Cordental Group acquired The Healthy Smile Center in Ashtabula.

Effingham, Ill.-based Heartland Dental affiliated with Lake West Dental in Willoughby Hills and Macedonia (Ohio) Dental Arts.

Dallas-based MB2 Dental partnered with Carpenter Dental Group in Mt. Vernon.

Morrisville, N.C.-based Affordable Care opened an Affordable Dentures & Implants office in Macedonia.

Irving, Texas-based Specialized Dental Partners added Yonchak & Agarwala Endodontics in Fairfield.

Complete Dental Care, an affiliate of Pittsburgh-based North American Dental Group, opened an office in Bellaire.

Pennsylvania

New Hyde Park, N.Y.-based Dental365 acquired Cirocco Dental Center in Center Valley and Dynamic Growth, a group with six dental practices throughout Pennsylvania. It also opened its first branded practice location in Camp Hill.

​​Effingham, Ill.-based Heartland Dental partnered with Wexford Dental Arts.

Morrisville, N.C.-based Affordable Care opened Affordable Dentures & Implants offices in Greensburg, Robinson Township and Wyomissing.

Greenwood Village, Colo.-based ClearChoice Dental Implant Centers opened an office in Chadds Ford.

Affordable Dentures & Implants opened a practice location in Ross Township.

Hackensack, N.J.-based Max Surgical Specialty Management expanded in Pennsylvania.

New Hyde Park, N.Y.-based Leading Edge Oral Surgery acquired Keith Silverstein Oral & Maxillofacial Surgery in Paoli.

Texas

Jonesboro, Ark.-based GPS Dental added Dallas Laser Dentistry and Toothbar in Austin.

Chicago-based Aspen Dental opened offices in Mansfield, Lewisville, McKinney and Stafford.

Irving, Texas-based Specialized Dental Partners affiliated with BC Perio in Dallas.

Morrisville, N.C.-based Affordable Care opened Affordable Dentures & Implants locations in Cedar Park, Weatherford and Lewisville.

Denver-based Espire Dental partnered with Gregory Hulings, DDS, in Frisco.

Dallas-based MB2 Dental added Dental Wellness of Anna.

Irving, Texas-based Specialized Dental Partners added Vaughn Endodontics, which has three locations in San Antonio.

Fort Lauderdale, Fla.-based Vitana Pediatric & Orthodontic Partners partnered with Healthy Teeth Pediatric Dentistry, which has offices in Sugarland and Katy.

Henderson, Nev.-based PDS Health opened Magnolia (Texas) Modern Dentistry.

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