By Tony Edwards, DrBicuspid.com editor in chief

October 15, 2019 -- 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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.


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