ProSmile

What ProSmile does

ProSmile Holdings LLC is a private Dental Support Organization (DSO) headquartered in Toms River, New Jersey, that acquires and operates dental practices across the Mid-Atlantic and Midwest United States. Founded in 2019 with backing from private equity firm TriSpan, the company has completed eight acquisitions through February 2025, most notably the September 2024 acquisition of Destiny Dental Practices — a pediatric-focused platform adding more than 100 practices across Michigan, Illinois, and other Midwest states — and the February 2025 acquisition of Neptune Dental Care in New Jersey. The business model is classic DSO managed services: ProSmile acquires practice assets and provides non-clinical administrative, operational, and business support, while affiliated dentists retain clinical autonomy. Revenue is generated through per-practice management fees and consolidated patient-care collections across the network.

The company's go-to-market is acquisition-led rather than sales-led in the conventional sense: TriSpan's equity capital and a dedicated credit facility from BankUnited (formalized in a February 2024 funding round and used to finance Destiny) underwrite a continuous pipeline of practice deals. Customer segmentation is vertical, targeting both general dentistry and specialty practices (including pediatric care), with the value proposition centered on relieving administrative burden, enabling scaling through shared back-office functions, and giving sellers liquidity and access to capital. Geographic concentration is split between the Mid-Atlantic (New Jersey) and the Midwest/Great Lakes region (Michigan, Illinois), with brand names of acquired practices generally retained as sub-brands under the ProSmile platform.

ProSmile is not a technology company: no proprietary platform, API, product suite, or AI capability is disclosed in the available data, and the technology and integrations inventories are empty. Competitive advantage is therefore entirely financial and operational — capital intensity from PE sponsorship, economies of scale across 100+ practices and 1,001–5,000 employees, and a track record of integrating multi-state acquisitions. Headcount growth, the deal cadence, and the multi-region footprint together indicate the company is in an active build-out phase rather than a mature steady state, with further acquisitions the most likely next source of scale.

Name

ProSmile

Legal name

ProSmile Holdings LLC

Website

https://prosmile.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

ProSmile is a private, TriSpan-backed Dental Support Organization that acquires and operates dental practices across the Mid-Atlantic and Midwest, providing administrative and operational support to a network of 100+ affiliated practices built through eight acquisitions since 2019.

Ownership category

akta.pro rank

Product category

Dental Support Services

NAICS

Offices of Dentists (62121)

akta.pro primary industry

Dental Support Services Organizations (Non-Clinical MSO/Back-Office Platforms) (HLABAKAN)

akta.pro secondary industries

Prosthodontic & Restorative Group Practices (HLABAKAH), Medicaid/Community-Focused DSOs (HLABAKAM)

Keywords

• Dental support services
• Dental practice management
• DSO affiliation services
• Dental practice acquisition
• Dental administrative services

Headquarters

HQ city

Toms River

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. DSO Management Services: As a Dental Support Organization, ProSmile generates revenue by providing administrative, operational, and business support services to affiliated dental practices. The company acquires dental practices and provides backend support while practices maintain clinical operations.

Go-to-market motion1 record

Core offering

ProSmile is a Dental Support Organization (DSO) that acquires and affiliates with dental practices, providing non-clinical administrative, operational, and business support services. The company handles backend functions such as administration, business operations, and access to capital, while affiliated practices maintain clinical operations. ProSmile's network includes general and specialty (pediatric) dental practices across the Mid-Atlantic and Midwest United States.

Product overview

ProSmile is a Dental Support Organization (DSO) that operates dental practices through acquisitions and affiliations. The company expands its network through acquisition of dental practices in the Mid-Atlantic and Midwest regions of the United States. Specific product names, modules, or branded service offerings are not detailed in the available source data.

Differentiator

Problem solved

Functional benefit

Products and services

• DSO Management and Administrative Support Services Ongoing Dental Support Organization services provided to affiliated dental practices, including administrative, operational, and business support. Practices maintain clinical operations while ProSmile handles backend functions. The service is for dental practice owners seeking to offload non-clinical work, access capital, and scale.
• Dental Practice Affiliation and Acquisition Program Program through which ProSmile acquires and onboards dental practices (general and specialty, including pediatric) into its DSO network. Targets dental practice owners interested in a sale or affiliation transaction. The company has completed eight such acquisitions since 2019 across New Jersey, Michigan, Illinois and other states.

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators3 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• Heartland Dental: The largest US DSO, supporting thousands of dental practices nationwide. Heartland is the benchmark scaled DSO that ProSmile competes with for both affiliated practices and dentist talent across the Midwest and beyond.
• Aspen Dental / TAG - The Aspen Group: A major, multi-specialty DSO and consumer-facing dental brand. Comparable to ProSmile as a PE-backed acquisition-oriented DSO targeting general dentistry in underserved markets, with significantly greater scale and brand awareness.
• Pacific Dental Services: Large DSO with a focus on technologically enabled, multi-specialty dental practices. PDS competes with ProSmile in the same DSO affiliation model and for dentist recruitment across multiple US regions.
• Sonrava Health (Western Dental & Orthodontics): Large multi-state DSO with a sizable pediatric and Medicaid-facing footprint, mirroring ProSmile's pediatric exposure through Destiny Dental and competing for similar state-level Medicaid dental contracts.

Direct peers

• Dental Care Alliance: A mid-to-large DSO formed via practice roll-up acquisitions across multiple US states. Direct comparable to ProSmile's growth-by-acquisition strategy, multi-region footprint, and PE-backed operating model.
• Affordable Dentures & Implants: DSO-style network focused on dentures, implants, and extractions. Comparable to ProSmile as a multi-practice dental support organization with a defined clinical specialty focus.
• Great Expressions Dental Centers: Multi-state DSO providing general, specialty, and orthodontic dental services. Direct peer to ProSmile's regional multi-practice DSO structure and growth orientation.
• Smile Brands: PE-backed DSO operating hundreds of affiliated practices across the US. Closely comparable to ProSmile on sponsor-backed acquisition strategy and multi-region general dentistry focus.
• 42 North Dental: Regional/multi-state DSO that has grown via affiliations and acquisitions. Comparable to ProSmile as a privately held, sponsor-influenced DSO consolidating independent practices.

Emerging players

• Sage Dental: Multi-location dental group and emerging DSO with both de novo and acquired practices. Relevant emerging comparable to ProSmile in scaling a mixed general/specialty dental platform.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/ProSmileFB

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries2 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A4 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ProSmile