By Theresa Pablos, DrBicuspid.com associate editor

October 26, 2017 -- Back by popular demand, DrBicuspid.com has once again compiled a list of the 10 largest dental service/support organizations (DSOs) in the U.S. More practices are now affiliated with one of the largest DSOs since the original list was published in May. However, the companies that made the list did not change.

With 800 affiliated/supported practices and offices, Heartland Dental remains the largest DSO in the U.S. It previously was No. 1, with more than 750 affiliates.

Western Dental also moved up one spot on the list to No. 8, overtaking Affordable Dentures & Implants. Western Dental grew from more than 220 affiliated/supported practices and offices to more than 245.

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 sourced through an organization's website, press releases, previously published material, and 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 October 17, 2017.

  1. Heartland Dental
    Number of affiliated/supported practices/offices: 800
    Source: Company website
    Brands: Individualized
    Locations: Heartland practices are in 34 states.
    Note: More than 1,250 dentists are supported by Heartland, according to the company's website.
  2. Aspen Dental/Aspen Dental Management
    Number of affiliated/supported practices/offices: More than 600
    Source: Company press release
    Brands: Aspen
    Locations: Aspen has practices in 36 states.
    Note: Aspen providers saw more than 1.5 million patients in 2016, according to the company.
  3. Pacific Dental Services
    Number of affiliated/supported practices/offices: More than 500
    Source: Company website
    Brands: Individualized
    Locations: Pacific Dental has locations in 17 states.
    Note: Pacific Dental was launched in 1994 in Costa Mesa, CA.
  4. Smile Brands
    Number of affiliated/supported practices/offices: More than 360
    Sources: Company website and press release
    Brands: Bright Now Dental, Castle Dental, and Monarch Dental
    Locations: Smile Brands has offices in 16 states.
    Note: Smile Brands' primary equity sponsor is Gryphon Investors, a middle-market private equity firm based in San Francisco.
  5. American Dental Partners
    Number of affiliated/supported practices/offices: 285
    Source: Company website
    Brands: 22 in all, including Associated Dental Partners, A Tooth Doctor for Kids, Carus Dental, Forward Dental, and Metro Dental
    Locations: Practices are in 21 states.
    Note: American Dental Partners was founded in 1995.
  6. Great Expressions Dental Centers
    Number of affiliated/supported practices/offices: More than 280
    Source: Company website
    Brands: Great Expressions
    Locations: Great Expressions has practices in 10 states.
    Note: Great Expressions Dental Centers was founded in 1982.
  7. Dental Care Alliance
    Number of affiliated/supported practices/offices: More than 260
    Source: Company website
    Brands: Multiple, including Advanced Dental Care, College Park Dental, Gentle Dental, and more
    Locations: Dental Care Alliance has practices in 13 states.
    Note: The alliance was established in 1991.
  8. Western Dental
    Number of affiliated/supported practices/offices: More than 245
    Source: Company website and published material
    Brands: Western Dental & Orthodontics and Brident Dental & Orthodontics
    Locations: Western Dental has locations in four states.
    Note: Western is the leading provider of orthodontics in California and Arizona, according to the company.
  9. Affordable Dentures & Implants
    Number of affiliated/supported practices/offices: More than 230
    Source: Company website and press release
    Locations: Affordable Dentures has offices in 39 states.
    Note: The first Affordable Dentures practice opened in 1975 in Kinston, NC.
  10. InterDent
    Number of affiliated/supported practices/offices: 200
    Source: Company website
    Brands: Gentle Dental, Dedicated Dental, Capitol Dental, Smile Keepers, and Blue Oak
    Locations: InterDent has offices in eight states.
    Note: Gentle Dental has almost 170 locations.
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Last Updated hh 10/26/2017 9:10:42 AM