Who is buying dental businesses?

Dental service organizations (DSOs) and dentist-owned groups affiliate with or acquire practices. The ADA Health Policy Institute reports that 16% of US dentists were DSO-affiliated in 2024, up from 8.8% in 2017. Every row below is sourced to the DSO or its sponsor. We documented 11 active acquirers as of September 2026, each linked to a company, sponsor or SEC source.

Updated 2026-09-23 · 13 sources · By the TradeExit Guide team

Dental acquirers we could document (2026-09)

Built only from company, sponsor or SEC announcements, each linked. Footprints are as the company stated them on the date shown. Not an endorsement; no affiliation.
AcquirerOwner / sponsorHQFocusFootprint (as stated)Latest dated event (source)

Heartland Dental

KKR (majority owner)Effingham, ILGeneral dentistry, affiliations and de novos1,900+ supported locations, 3,000+ doctors in 39 states + DC; 33 affiliations and 60 practices via Smile Design Dentistry in 2025

Jan 28, 2026: 2025 growth release

MB2 Dental

Warburg Pincus (recap announced Nov 2024); Charlesbank continues (invested 2021)Not statedDentist partnership model, general and specialty800+ partner practices (2026 release)

Nov 13, 2024: recapitalization at enterprise value above $3.5B

Dental Care Alliance

Mubadala and Harvest Partners (joint control since Dec 2022)Not statedMulti-brand general and specialtyAbout 390 affiliated practices in 22 states at the 2022 deal

Dec 2022: Mubadala / Harvest recapitalization

The Aspen Group (Aspen Dental)

Leonard Green & Partners and Ares (majority), American Securities (minority) per 2017 releaseNot statedBranded general dentistryNot restated here

Jun 13, 2017: Ares and Leonard Green increase ownership

PDS Health (Pacific Dental Services)

Privately heldNot statedSupported practices with dentist ownership model900 supported practices milestone announced

Company milestone release (900 supported practices)

Smile Brands

Gryphon InvestorsIrvine, CABranded general dentistry~650 offices in 30 states after acquiring Midwest Dental

Completed acquisition of Midwest Dental

Sonrava Health (Western Dental)

New Mountain CapitalNot statedAffordable general, specialty and orthodontics580+ offices in 20 states (sponsor page)

Sponsor portfolio page

Dental365

The Jordan Company (agreed 2021)Not statedGeneral and specialty (Northeast and beyond)Expanding by acquisition

Jul 2021: agreement to be acquired by TJC

Chord Specialty Dental Partners

Rock Mountain CapitalNot statedPediatric and orthodontic specialtyPartnered with Dr. J Pediatric Dentistry (3 Indianapolis practices)

Aug 7, 2025: Dr. J Pediatric Dentistry affiliation

PepperPointe Partnerships

Dentist-owned (markets itself as an alternative to PE ownership)Not statedGeneral dentistry partnershipsNot stated

Company website

Mortenson Dental Partners

Employee-owned (ESOP)Not statedGeneral dentistryNot stated

Company website

Read this before you answer a letter

Ownership model matters as much as the multiple: PE-backed DSOs usually pay part of the price in rollover equity that pays out on the next recapitalization, while dentist-owned and ESOP groups offer different kinds of ownership. See DSO vs private buyer.

Platform vs add-on: what it means for price

A platform is the first company a PE firm buys in a trade or region; it is usually larger, keeps its management and is priced at a higher multiple. An add-on is a smaller company bolted onto that platform, typically at a lower multiple, because the buyer is paying for your customers, technicians and location rather than a management team.

Published ranges for dental practices:

Deal type / sizeMultipleSource
Single practice sold to a DSO (add-on)5-8x EBITDA

FOCUS Investment Banking - Dental practice EBITDA multiples 2026

DSO platform9-12x EBITDA

FOCUS Investment Banking - Dental practice EBITDA multiples 2026

Private practice sale (dentist buyer)60-95% of collections, most 70-85%

DDSmatch - How to value a dental office before selling (2025-06)

If one of these groups contacts you

  1. Do not reply with numbers yet

    Run your own range first with the dental practice calculator.

  2. Ask what kind of deal it is

    Platform or add-on? How much cash at close, how much rollover equity or earn-out, and what role they expect you to play for how long.

  3. Check who owns the buyer

    The sponsor and when it invested tell you how soon the buyer itself may be sold, which matters if you roll over equity.

  4. Talk to more than one buyer

    A single-bidder process rarely gets the top of the range. Use our unsolicited offer guide and checklist.

Got a PE letter? Get our offer-review checklist

Twelve questions to ask before you sign anything, including the rollover and earn-out terms that change what you actually take home.

Get the offer-review checklist

Buying dental businesses? Register your interest

Get notified when we publish new data on off-market dental businesses and acquirers. We do not list businesses for sale, and we cannot promise that any will become available to you.

Interest only. No listings, no introductions, no fees. We never share buyer details with sellers without asking you first.

Registered. If you ticked the box, we may email you when we publish something relevant to your criteria.

Spotted an error or an out-of-date sponsor? Send a correction and we will review it against the primary source. Company names are used only to identify them; we are not affiliated with any acquirer listed.

Frequently asked questions

Who is buying dental businesses?

We documented 11 active acquirers from primary sources, including Heartland Dental, MB2 Dental, Dental Care Alliance. The table lists each one’s owner, footprint and latest dated announcement.

Do PE-backed buyers pay more?

For larger companies, usually yes on headline multiple, but more of the price may come as rollover equity or earn-out. Compare cash at close and your required role, not only the multiple.

Can you introduce me to these buyers?

No. We are not a broker, we do not make introductions and we take no fees from buyers or sellers. See not a broker.

Sources

  1. Heartland Dental - primary source (accessed 2026-09-23)
  2. MB2 Dental - primary source (accessed 2026-09-23)
  3. Dental Care Alliance - primary source (accessed 2026-09-23)
  4. The Aspen Group (Aspen Dental) - primary source (accessed 2026-09-23)
  5. PDS Health (Pacific Dental Services) - primary source (accessed 2026-09-23)
  6. Smile Brands - primary source (accessed 2026-09-23)
  7. Sonrava Health (Western Dental) - primary source (accessed 2026-09-23)
  8. Dental365 - primary source (accessed 2026-09-23)
  9. Chord Specialty Dental Partners - primary source (accessed 2026-09-23)
  10. PepperPointe Partnerships - primary source (accessed 2026-09-23)
  11. Mortenson Dental Partners - primary source (accessed 2026-09-23)
  12. FOCUS Investment Banking - Dental practice EBITDA multiples 2026 (accessed 2026-09-23)
  13. DDSmatch - How to value a dental office before selling (2025-06) (accessed 2026-09-23)