Great Expressions, DCA move up in list of largest DSOs

By Tony Edwards, DrBicuspid.com editor in chief

October 3, 2018 -- Great Expressions Dental Centers and the Dental Care Alliance (DCA) have moved up in DrBicuspid.com's twice-a-year update of the list of the 10 largest dental service/support organizations (DSOs) in the U.S.

Both Great Expressions and DCA have added affiliated practices since the last update was published in April 2018, while American Dental Partners has moved lower.

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 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 10

Organizations are ordered by the number of affiliated practices. All company websites were last accessed on September 24, 2018.

  1. Heartland Dental
    Number of affiliated/supported practices/offices: More than 850
    Source: Company website
    Brands: Individualized
    Locations: The company has practices in 35 states.
    Note: Heartland added nine practices on September 4, 2018.
  2. Aspen Dental/Aspen Dental Management
    Number of affiliated/supported practices/offices: Almost 700
    Source: August 29 company press release
    Brands: Aspen
    Locations: Aspen has practices in 38 states.
    Note: The company announced the hiring of four new vice presidents on September 19.
  3. Pacific Dental Services
    Number of affiliated/supported practices/offices: More than 630
    Source: Company website
    Brands: Individualized
    Locations: Pacific Dental has locations in 20 states.
    Note: The company plans to add more than 80 supported offices each year.
  4. Smile Brands
    Number of affiliated/supported practices/offices: Nearly 400
    Source: Company press release
    Brands: Bright Now Dental, Castle Dental, and Monarch Dental
    Locations: Smile Brands has offices in 16 states.
    Note: The company was rebranded as Smile Brands in 2009.
  5. 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: Both Great Expressions and the Dental Care Alliance overtook American
    Dental Partners since the last publication.
  6. Dental Care Alliance
    Number of affiliated/supported practices/offices: Almost 300
    Source: Company website
    Brands: Multiple, including Advanced Dental Care, College Park Dental, and Gentle Dental
    Locations: Dental Care Alliance has practices in 16 states.
    Note: The company was founded in 1991 and is based in Florida.
  7. American Dental Partners
    Number of affiliated/supported practices/offices: More than 290
    Source: Company website
    Brands: 22 "supported affiliates," including Associated Dental Partners, Carus Dental, Forward Dental, and Metro Dental
    Locations: American Dental Partners has practices in 21 states.
    Note: The company fell two places since our list was last published.
  8. Western Dental
    Number of affiliated/supported practices/offices: Almost 250
    Source: Company website
    Brands: Western Dental & Orthodontics and Brident Dental & Orthodontics
    Locations: Western Dental has locations in four states.
    Note: The company began in Los Angeles in 1903.
  9. Affordable Dentures & Implants
    Number of affiliated/supported practices/offices: More than 230
    Source: Company press release
    Locations: Affordable Dentures has offices in 39 states.
    Note: The company claims to be the largest network of providers concentrating on dentures and implants.
  10. 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: InterDent affiliates with more than 475 dentists.

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