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17% of US dentists are affiliated with a DSO: Breakdown by state

Source
Becker's Dental + DSO Review
Author
Cameron Cortigiano

Summary and scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol. Not the original publisher.

Why it matters for dental

DSO-affiliated dentists now comprise 17% of the U.S. workforce, with ownership and staffing models shifting fastest in high-DSO states such as Nevada (29%). Owners and DSO leaders can benchmark their state’s market share and anticipate competitive pressure on recruitment and payer negotiations.

Key points

  1. 01

    American Dental Association data show 17% of U.S. dentists were DSO-affiliated in 2025, up nearly 10 percentage points since 2015.

  2. 02

    DSO affiliation rose from 16.1% in 2024 to 17% in 2025.

  3. 03

    Nevada leads all states with 29% DSO affiliation; Alaska, Hawaii, and North Dakota register the lowest at 4–5%.

  4. 04

    State-level shares range from 4% (Alaska) to 29% (Nevada), with 11 states above 20%.

Who should care

  • Owner
  • DSO

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Becker's Dental + DSO Review

Full reporting and any paywalled content live on beckersdental.com. We summarize and score; we do not republish.

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