69% of DSOs plan to increase acquisitions in 2026
DSOs plan significant growth by acquisition in 2026, but practice supply may become a limiting factor for expansion.
A report from TUSK Practice Sales released on April 21, 2026, found that 69% of dental support organizations expect to increase acquisition activity this year. However, the limited supply of available practices may constrain these expansion plans.
Market dynamics and acquisition pressure
The finding reflects strong appetite among DSOs for growth through practice consolidation. Many DSOs have set ambitious expansion targets and are actively pursuing acquisitions as their primary growth strategy. Competition for available practices remains intense, with multiple DSOs bidding for the same acquisition targets.
Supply constraints ahead
The report highlights a potential mismatch between DSO demand for acquisitions and the actual number of practices available for sale. Fewer independent practices are entering the market, which may limit the ability of DSOs to execute their acquisition plans despite their willingness to invest. This supply-demand gap could lead to higher valuations and more selective deal-making among DSO buyers.
Frequently asked questions
What percentage of DSOs plan to increase acquisitions in 2026?
According to TUSK Practice Sales, 69% of DSOs expect to increase their acquisition activity in 2026.
What is limiting DSO acquisition plans in 2026?
Fewer available practices are entering the market, which may constrain the ability of DSOs to execute acquisitions despite strong demand.
Who released the 2026 dental market report?
TUSK Practice Sales, a healthcare merger and acquisition advisory firm, released the Dental Market Report for the second quarter of 2026 on April 21.
How does practice supply affect DSO acquisition strategies?
Limited practice supply may lead to higher valuations and force DSOs to be more selective with their acquisitions, even as most plan to increase deal activity.
