DSO Deal Roundup – April 2025

DSO Industry Mergers & Acquisitions

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Here is GDN’s exclusive list of DSO and emerging group M&A for April:

TUSK Practice Sales advised Smith & Co. Dental Practitioners in its sale to MB2 Dental

TUSK Practice Sales advised Jacksonville Dental Specialists in its sale to Modis Dental Partners

An Emerging Group to Watch in 2025 winner – MAX Surgical Specialty Management – announced that it has closed on a $77 million senior credit facility. The financing will support the next phase of the company’s strategic growth, with a focus on forming new partnerships with OMS practices across the Northeast.

In conjunction with the financing, MAX has partnered with Rothman and Kim Oral & Maxillofacial Surgery (RKOMS), a provider in the Philadelphia market with a second location in Cinnaminson, New Jersey. The RKOMS partnership follows the recent addition of Oral and Maxillofacial Surgery of Westfield, NJ to MAX’s network.

Since January 2024, MAX has added 14 practice locations and 17 surgeons to its network across New Jersey, New York, Pennsylvania, Vermont and Connecticut. The company’s total headcount has nearly doubled to over 300 in the last 15 months, driven by rapid expansion into new markets and investments in clinical and operational talent.

Allied OMS, a doctor-owned and doctor-led management services organization (MSO) specializing in oral and maxillofacial surgery, announced that it has partnered with three Southern California practices: TorriMed Oral Surgery and Dental Implants, Bixby Knolls Oral Surgery, and VistaMed Oral and Maxillofacial Surgery. The addition of these practices strengthens Allied OMS’s network in California, now comprising 18 doctors in 14 locations statewide. Founded in 2020, the Allied OMS network now includes 81 doctors serving patients from 51 locations in Arizona, California, Colorado, Illinois, Louisiana, Maryland, Michigan, New York, Oregon, Tennessee, Texas, and Virginia.

Heartland Dental continued to expand their supported footprint through their de novo and affiliation programs. The company affiliated with one new practice, Healthy Smiles, in Reno, NV and collaborated to open 6 state-of-the-art de novo practices across Florida, North Carolina, and Texas: Dental Care at Waterset (FL), Market Walk Dental Care (FL), Tradition Dental Care (NC), Darrington Dental Care (TX), The Crossroads Dental Care (FL), and Addison Center Dental Care (FL).

Straine Dental Management (SDM) expanded into Oklahoma, its fifteenth state, with the announcement of its partnership with Aaron T. Cohenour, DDS, founder of SmileArts Dental in Oklahoma City and Yukon, Oklahoma. It also expanded into its sixteenth state, Maryland, with the strategic acquisition of Clarksburg Dental Center in Germantown. Straine Dental Management evolved from a thirty-year practice management and strategic services organization, working with thousands of dental practices.

PDS Health added ten new dental practices in April. Additionally, the leading integrated healthcare support organization added a total of ten practices in the first quarter of 2025, demonstrating steady growth and continued expansion. PDS Health now supports more than 1,000 offices in 24 states.

• The Dental Office of Chandler in Chandler, Arizona.
• Dentists of East Gilbert in Gilbert, Arizona.
• Dentists of Surprise in Surprise, Arizona.
• Long Beach Modern Dentistry in Long Beach, California.
• Escondido Modern Dentistry in Escondido, California.
• Dentists of Santa Clara in Santa Clara, California.
• Dentists On Biscayne in Miami, Florida.
• Wildwood Modern Dentistry in Wildwood, Florida.
• Dentists of Belterra in Austin, Texas.
• Dentists of Plano in Plano, Texas.

Aspen Dental opened the following locations:

• Carson City, NV, led by managing clinical director Amr Khorshed, DDS
• Corsicana, TX, led by practice owner Edward Uliani, DDS

Boutique dental chain Tend cut the ribbon on its new Pentagon City office. The first Arlington office opened at the Ballston Exchange in 2022, and the Pentagon City location marks the company’s eighth in the D.C. area. The Nashville-based dental chain has been expanding along the East Coast, with additional locations in New York City, Boston, and Atlanta.

Imagen Dental Partners welcomed:

• Preferred Dental Partners, Horicon and Beaver Dam, Wisconsin, led by Dr. Anna Minnema, DDS, and Dr. Megan Oldridge, DMD
•  Fort Loramie Dental Center, Fort Loramie, Ohio, led by Dr. Christopher Ashby

Westminster, Colorado’s Smile Heroes joined forces with Rodeo Dental & Orthodontics. With a mission to ‘Give Every Family the Key to Access High-End Dental Care,’ Rodeo Dental continues to revolutionize the patient experience across multiple locations.

Dental365 acquired Rittenhouse Dentists and their three Pennsylvania locations: Philadelphia, Bala Cynwyd, and Bryn Mawr. Rittenhouse Dentists is led by Dr. Shimma Abdulla, who founded the practice in 2011.

Children’s Choice Dental Care opened a new office in Oceanside, CA, bringing its total number of locations to 25. Focused on serving Medi-Cal eligible and Tri-Care eligible military families, among others, this new location will provide preventive and comprehensive dental services for children, helping to address significant oral health disparities in the area.

Newly launched Reveal Dental Partners announced the acquisition of Britely Dentures & Implants, a provider of advanced full-arch dental implant solutions and dentures. Previously part of Vista Verde Dental Partners (VVDP), Britely has seven locations across Florida, Arizona, Colorado, Wisconsin, and Minnesota.

ICON Smile Studios opened their seventh locations, this one in the heart of Virgia Beach, VA. ICON is a multidisciplinary specialty group, delivery orthodontics, pediatric dentistry and periodontics

SPP Dental Partners announced the addition of its first orthodontic partner, Dr. Daniel Hulme of Hulme Orthodontics in Santa Cruz, California. Dr. Hulme’s partnership represents SPP Dental Partners’ tenth collaboration within California, further strengthening its presence across the Western United States, where it currently operates in Utah, Idaho, Nevada, California, and Washington.

Thrive Dental & Orthodontics announced the grand opening of their newest location, Forest Lane in North Dallas. This is their sixth location and marks their continued expansion across the Dallas—Fort Worth metroplex. The luxury dental group was founded in 2016 by husband-and-wife team, Drs. Christine and Nathan Coughlin. Their focus is on serenity, beauty and joy.

MB2 Dental welcomed three new doctor partners and opened a de novo practice, adding a total of four new practices across four different states in April:

• The Smiling Turtle Pediatric Dentistry in Holly Spring, NC and Wendell, NC, Acquisition
• Brent C. Maxson, DMD, PA in Stuart, FL, Acquisition
• Babin Dental – Picardy in Baton Rouge, LA, De Novo
• Parker Dentistry in Hollywood, FL, Acquisition

US Oral Surgery Management partnered with Valentine Oral & Maxillofacial Surgery in Grass Valley, California. Headquartered in Irving, Texas, USOSM is a management services organization spanning 29 states.

Triangle Family Dentistry, which serves the Research Triangle region of North Carolina, announced the opening of its newest location serving Holly Springs. Triangle has 11 locations and is a part of Lightwave Dental which is a DLO – Dental Leadership Organization.

Colosseum Hold Co II AG, parent of Colosseum Dental, received a ‘B’ rating from S&P Global after refinancing €1.23 billion in debt. Profitable growth is expected through 2026, supported by lower dentist churn, clinic expansions, and steady cash flow, despite regulatory risks. EBITDA margins should improve and leverage fall to about 6.5x. A stable outlook reflects continued operational gains, but risks from regulation and acquisitions remain.

It has a pan-European presence across 11 countries and is the largest DSO in Europe. It is the market leader in most of its markets, except the U.K. and France. That said, the DSO market is still highly fragmented–typically well over 50% of each market comprises individual clinics or smaller chains.

UK-based Mosaic Dental Group purchased London-based The Park Clinic. Established in 1985, The Park Clinic is a seven-surgery private dental practice and specialist referral center for periodontology, endodontics, oral surgery, CT scanning, orthodontics and implants.

Cemaes Bay Dental Practice, a private dental clinic on the north coast of Anglesey in Wales, has been acquired by Dylan Jones, founder of Glandŵr Dental, also located in Wales. The latest acquisition is intended to support GlanDŵr Dental’s mission to expand modern, patient-focused services in rural areas.

Imperial Dental, a growing regional dental group with practices located across the Midlands, outside London, acquired RA Arrowsmith is a three-surgery, predominantly NHS dental practice that is located in the Worcestershire town of Stourport-on-Severn, set on the banks of the River Severn.

Duncan Smith Dental joined Scottish Dental Care. Under Scottish Dental Care’s ownership, the practice will continue to serve its patients under the name Musselburgh Dental Clinic and Implant Centre, with investment into enhanced facilities and cutting-edge digital technology expected in the next 12 months.

Long Sutton Dentistry in Lincolnshire, England has been sold to an expanding group, The Dental Design Studio. Set up by the previous owners, Kenny Doig, Jez Hyland, and Sam Wright, in 2013, it is located in the market town of Long Sutton, near Boston and Spalding in South Lincolnshire. Over the last 12 years, it has grown into a four-surgery practice.

The DSO Deal RoundUp is sponsored by TUSK Practice Sales, the premier M&A Advisor for healthcare practices looking to maximize their value in a sale. With an in-depth understanding of the marketplace, collective experience of over 125+ years, and access to hundreds of buyers nationwide, TUSK helps their clients confidently pursue M&A transactions that maximize their long-term value. They offer their clients solutions that help them achieve their strategic and financial objectives. If you’re interested in knowing the true value of your practice, click here for a complimentary practice valuation.

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