DSO Deal Roundup – August 2024

DSO Deals

At Group Dentistry Now, we are starting to see an uptick in mergers and acquisitions within the DSO sector. It appears that some larger DSOs, which had temporarily paused their expansion, are gradually resuming growth.

Will we ever return to the activity levels of a few years ago? Numerous factors—such as the economy, inflation, and the upcoming election—will play a role. We’ll continue monitoring the M&A landscape closely and keep you informed. Subscribe today so you don’t miss this valuable information.

Group Dentistry Now (GDN) is the only resource providing a complete list of monthly DSO deals in one convenient place, keeping you informed on the ever-shifting dental landscape.

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

TUSK Practice Sales advised Montshire Endodontics in its partnership with MB2 Dental. The transaction was led by Yazen Abusad, Associate of Mergers & Acquisitions at TUSK Practice Sales. Alex Cherniavsky and Taylor Adams spearheaded the diligence and analytics efforts for TUSK.  Montshire Endodontics was founded in 2010 as a single location in Lebanon, NH, and later expanded to a second location in Barre, VT. The two-location group practice, led by Dr. Timothy Meyers, Dr. Mikilena Hall, and Dr. Josh Gailey, serves multiple communities in the Northeast.


PDS Health added three new dental practices in August. The Henderson, Nev.-based healthcare support organization has added a total of 31 practices in 2024. PDS Health now supports over 1,000 offices in 24 states.


MB2 Dental, the original dental partnership organization (DPO), announced its partnership with Dr. Kiran Khemani, owner of Valley View Dental in Castro Valley, California. Dr. Khemani, who has been practicing in the Bay Area for over 20 years, specializes in cosmetic and restorative dentistry, Invisalign treatments, and root canal therapy.

With a network of over 730 practices, 1,500+ doctors, and 10,000 team members, MB2 Dental continues to grow its presence across the country. In 2024, MB2 Dental expanded to 42 states nationwide, adding South Carolina, Vermont, and West Virginia.

MB2 Dental also introduced its latest initiative, the MB2 Underground podcast. This podcast ventures beyond the clinical environment, offering listeners inspiring stories from some of dentistry’s most influential minds. MB2 Underground provides valuable insights into leadership, entrepreneurship, and financial strategies to help doctors grow their practices and achieve their professional goals.


Imagen Dental Partners added seven locations:


CORDENTAL Group has announced their new affiliation, Smile Solutions in Goodlettsville, Tennessee. This affiliation will be Cordental’s fifth location in Tennessee, fourth location in Nashville, and 44th practice overall.


beBright welcomed Kelson Orthodontics of Meridian, ID. beBright, a pediatric and orthodontic group led by Dr. Bobbi Augustyn, is headquartered in Minnetonka, MN. They currently have a total of 12 locations in MN, MT, NE, TN, and now ID.


Enhance Dental, with 43+ practices across five states, welcomed their newest practice owners:


Rock Dental Brands has announced that Cardinal Orthodontics has now rebranded to Westrock Orthodontics.


Thurston Group has announced a placement of a new $350 million credit facility at its portfolio company, SGA Dental Partners. SGA Dental Partners is poised to capitalize on this substantial capital infusion to support its ongoing efforts to expand its practice network and enhance patient care.


Vitana Pediatric & Orthodontic Partners, a dentist-led dental partnership organization (DPO), has announced a new partnership in Central Florida. They introduced Dr. Jonathan Gooch, Dr. Michael Gooch and Dr. Andrew Gooch, owners & leaders of Celebration Pediatric Dentistry.


Life Dental Group has announced the acquisition of a new practice in, Starkville Mississippi, Starkville Dental, led by Dr. Cameron Hynum, DMD. The addition increases Life Dental’s network to 16 practices across Mississippi and Alabama, with plans to add an additional 3-5 practices by the end of the year.


Dentalcorp has reported their second quarter 2024 results. Second quarter 2024 highlights:

  • Revenue of $399.8 million, an increase of 8.6% over the second quarter of 2023, with Same Practice Revenue Growth of 2.0%.
  • Adjusted EBITDA of $73.9 million, an increase of 10.3% compared to the same period in 2023; Adjusted EBITDA Margin of 18.5%, an increase of 0.3% compared to the same period in 2023.
  • Adjusted Net Income of $22.5 million, and Adjusted Free Cash Flow of $40.7 million, an increase of 21.1% compared to the same period in 2023.
  • Net debt to PF Adjusted EBITDA after rent of 4.1x, a decrease of 0.2x from the first quarter of 2024.
  • Acquired 9 new practices in the quarter, expected to generate $6.2 million in PF Adjusted EBITDA after rent at 6.6x, representing multiples 3% lower than the same period in 2023. The nine practices are: Brookside Dental, Atlantic Smile Dentistry, Centre Dentaire Ricard & Tran, EJC Dentistry, MarPark Dental Care, Mill Woods Town Centre Dental Clinic, Access Dental, Apex Dental, Smiles at Fleetwood!

Dental365 announced the acquisition of Florham Park Dental Excellence in Florham Park, New Jersey. The DSO recently celebrated their 10-year anniversary.


Specialty1 Partners acquired Northeastern Endodontic Specialists, led by partners Dr. Stephen Balzer and Dr. Micah Nuzum. Established in 2011, Northeastern Endodontic Specialists serves the Wooster, Ohio community. The DSO is headquartered in Houston, TX.


Signet Leadership, LLC and its clinical partner, Ladd Dental Group of Huntington, IN, announced the acquisition of Hughes Family Dental. They also held a Chamber of Commerce ribbon cutting to celebrate their newest location. Dr. Kevin Deakyne, DDS, will serve as the local dentist. Ladd Dental Group has a network of dental practices throughout North Central Indiana.


Delicate Dental Arts and Los Coches Dentistry, both located in Carlsbad, CA, are now affiliates of Silver Creek Dental Partners.


Smile Partners USA announced their newest addition: Bridgemill Dentistry in Canton, GA. This partnership them to 105 total offices across five regions.


GPS Dental opened first location in NYC. The group plans to hit 100 practice locations soon.


Heartland Dental collaborated to open 11 de novo locations: 2 in FL and NC and 1 in TX, MN, AL, ID, SC, UT, and GA. The company also affiliated with 1 new supported practice in Michigan.  The DSO also recently announced that they collaborated to open 55 state-of-the-art dental practices through June 2024. These newly supported dental practices include relocations of existing supported offices. Heartland Dental has also affiliated with 21 new supported practices in the first half of 2024. These practices span NC, MD, NE, MI, VA, FL, SC, PA, LA, OH, OR, MS, WA, and MN. The company has maintained doctor capacity and added a net 257 hygienists through June.


Q & M Dental Group (Singapore) reported their first half 2024 earnings:

  • Revenue: S$88.8m (up 1.9% from 1H 2023)
  • Net income: S$9.80m (up 84% from 1H 2023)
  • Profit margin: 11% (up from 6.1% in 1H 2023)
  • EPS: S$0.01 (up from S$0.006 in 1H 2023)

UK-based Damira Dental Studios has confirmed that it will be taking over two dental practices, Kingston Crescent Dental and Northern Dental, both of which are based in Portsmouth. This comes following their recent closures as Astradent Dental Group, which was formally running the practices, went into administration. Astradent owned and operated six dental practices across Hampshire and the Isle of Wight including two in Portsmouth and two in Southampton. These four practices all had NHS dental contracts. They also are opening a new NHS and private practice in Hove. This expansion adds 7 amazing practices in Portsmouth, Southampton, and Norfolk.


Beacon Oral Specialists welcomed Oral Surgery Partners, led by Drs. Trent Westernoff, Martin Mardirosian, Joshua Wohlgemuth and Rohin Ambaram. Oral Surgery Partners is has three practices in Southern California, Redondo Beach, Manhattan Beach and Westchester, serving the South Bay for over 40 years.


Sage Dental announced the opening of four new practices, including two practices in Alabama, marking Sage Dental’s official entry into the state:

  • Sage Dental of Durbin Creek – 71 Doctors Village Dr., Suite 303, St. Johns, FL 32259
  • Sage Dental of Vestavia Hills – 3066 Healthy Way, Suite 116, Vestavia Hills, AL 35243
  • Sage Dental of East Side Orlando – 14811 E Colonial Dr. Suite 100, Orlando, FL 32826
  • Sage Dental of Gardendale – 616 Gayle Street, Suite 100, Gardendale, AL 35071

DSO DealsThe 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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DSO M&A

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