
In DrBicuspid.com's latest list of the largest dental service organizations (DSOs) in the U.S., the three largest ones have continued to add affiliated practices. Heartland Dental, Aspen Dental, and Pacific Dental have all added about 40 practices since the last list was published in April 2019.
The list is based on DrBicuspid.com research of readily available public information. The information presented is not meant to be definitive but rather to provide a snapshot of the available data on the largest DSOs. In each instance, the information has been gathered through an organization's website, press releases, previously published material, or other sources.
Some companies and information are not on this list because the information could not be confirmed by press time. If you are aware of missing information or an organization that should be on this list, please contact us.
Top 9
Organizations are ordered by the number of affiliated practices. All company websites were last accessed on October 10, 2019.
- Heartland Dental
 Number of affiliated/supported practices/offices: More than 950
 Source: Company website
 Brands: Individualized
 Locations: The company has practices in 37 states.
 Note: The company has added more than 50 practices since April.
- Aspen Dental/Aspen Dental Management
 Number of affiliated/supported practices/offices: Almost 780
 Source: October 10, 2019, press release
 Brands: Aspen
 Locations: The company has practices in 42 states.
 Note: The company opened its first practices in California earlier in 2019.
- Pacific Dental Services
 Number of affiliated/supported practices/offices: More than 740
 Source: October 1, 2019, press release
 Brands: Individualized
 Locations: Pacific Dental has locations in 20 states.
 Note: The company has added more than 40 practices since the last report.
- Smile Brands
 Number of affiliated/supported practices/offices: More than 400
 Source: Company press release
 Brands: Bright Now Dental, Castle Dental, and Monarch Dental
 Locations: Smile Brands has offices in 17 states.
 Note: The company is based in Irvine, CA.
- Affordable Care
 Number of affiliated/supported practices/offices: 336 practices
 Source: Company website
 Brands: Affordable Dentures & Implants and DDS Dentures + Implant Solutions
 Locations: The company has practices in 40 states.
 Note: The company has recently expanded into Colorado and Washington state.
- Western Dental
 Number of affiliated/supported practices/offices: 322
 Source: October 2, 2019, press release
 Brands: Western Dental & Orthodontics and Brident Dental & Orthodontics
 Locations: Western Dental has locations in five states.
 Note: The company jumped one spot since the last publication, where it was No. 6.
- Dental Care Alliance
 Number of affiliated/supported practices/offices: More than 300
 Source: Company website
 Brands: Multiple, including Advanced Dental Care, College Park Dental, and Gentle Dental
 Locations: Dental Care Alliance has practices in 20 states.
 Note: The company has added 13 practices in 2019.
- Great Expressions Dental Centers
 Number of affiliated/supported practices/offices: 300
 Source: Company website
 Brands: Great Expressions
 Locations: Great Expressions has offices in 10 states.
 Note: The company added Don Trabulsy as its new chief operating officer in August 2019.
- InterDent
 Number of affiliated/supported practices/offices: Nearly 200
 Source: Company website
 Brands: Gentle Dental, Dedicated Dental, Capitol Dental, Smile Keepers, and Blue Oak
 Locations: InterDent has offices in eight states.
 Note: The company added a practice in Oregon in May 2019.



















