List of DSOs in Austin – 2026

Austin's explosive growth and tech-centric culture are reshaping every industry, including dentistry. With the Austin metro area projected to grow by over 27.8% between 2020 and 2030 and a median age of 34.8 years, the Austin metro area—including Round Rock, Cedar Park, and Georgetown—is a hotbed for young families and digital-first patients. This dynamic environment has attracted major Dental Service Organizations (DSOs) seeking to scale operations and meet the demand for convenient, tech-enabled care. However, this growth creates a critical challenge: capturing online interest and converting it into booked appointments. For DSOs managing multiple locations, an AI receptionist platform like Arini is essential to bridge the gap, providing instant scheduling and smart call routing that matches Austin's fast-paced, tech-savvy expectations.
Key Takeaways
- Austin's rapid population growth (over 27% projected between 2020-2030) and young median age (34.8 years) create a high-demand market for dental services that DSOs are actively targeting.
- Allied OMS has confirmed local presence with multiple oral surgery practices in Austin, making them the only specialty DSO in this guide with verified Austin-area locations.
- The online-to-phone conversion gap represents a critical revenue challenge for DSOs, as missed calls or long hold times lead to lost patients in a competitive market.
- AI-powered receptionist solutions that offer 24/7 call answering, instant appointment scheduling, and PMS integration are becoming essential tools for multi-location dental groups to maximize patient acquisition and operational efficiency.
- Texas-based DSOs like MB2 Dental and regional brands like Castle/Monarch Dental have strategic advantages in understanding and serving the Central Texas market's unique demographics and preferences.
1. Heartland Dental – The National Leader with a Strong Texas Footprint
As the largest DSO in the United States, Heartland Dental operates over 1,900 supported practices nationwide, with a significant and growing presence across Texas. Their model focuses on supporting independent dentists with comprehensive non-clinical business services, including marketing, HR, and technology, allowing doctors to focus on patient care.
Why Heartland Fits the Austin Market
- Scalability: Their extensive network is well-suited for a high-growth market like Austin, where they can quickly open new supported practices to meet demand in burgeoning suburbs like Round Rock and Cedar Park.
- Tech-Enabled Care: Heartland provides its supported practices with advanced technology for practice management and patient engagement, aligning with the expectations of Austin's tech-savvy residents.
- Operational Efficiency: Their centralized support system helps practices manage the complexities of a booming market, from staffing to supply chain logistics.
The Challenge for Multi-Location Groups
Managing a high volume of inbound calls across numerous locations can strain resources. A missed call from a new patient in Georgetown is a direct revenue loss. Heartland's supported practices can leverage Arini's AI call answering and scheduling capabilities to ensure every call is answered, 24/7, and appointments are booked directly into their PMS, even after hours.
2. Pacific Dental Services (PDS) – Known for Digital Patient Engagement
Pacific Dental Services is a national leader with over 900 supported practices, renowned for its heavy investment in digital patient experience and technology. The presence of a PDS-supported practice in the Austin suburb of Belterra confirms their active strategy in the metro area.
Why PDS is a Key Player in Austin
- Digital-First Philosophy: PDS is a pioneer in using technology to streamline the patient journey, from online appointment booking to digital treatment plans—perfect for a market that expects seamless digital interactions.
- Focus on Convenience: Their model is designed to make dental care as convenient as possible, a critical factor for busy young professionals and families in the Austin area.
- Comprehensive Support: PDS provides a full suite of administrative and marketing support, enabling its dentists to deliver high-quality care without operational headaches.
The Conversion Gap
Even with a strong online presence, a patient who calls after seeing a Google ad might hang up if they reach a voicemail or are put on hold. This online-to-phone conversion gap is a silent revenue killer. PDS-supported practices can close this gap with Arini's AI receptionist for dentists, which engages callers instantly, answers FAQs about insurance and office hours, and books appointments in real-time, directly from the first call.
3. Allied OMS – The Confirmed Austin Specialty DSO
Unlike general dentistry DSOs, Allied OMS is a specialty-focused organization centered on oral and maxillofacial surgery. They are the only DSO in this research with confirmed, named practices in Austin: Heart of Texas Oral Surgery and North Austin Oral Surgery.
Why Allied OMS Stands Out
- Confirmed Local Presence: Their established practices in central and north Austin demonstrate a deep commitment to the local market.
- Specialized Care: They cater to patients with complex surgical needs, a critical service in a growing metropolitan area.
- Regional Expertise: As a Texas-based organization, they have a nuanced understanding of the local healthcare landscape and patient demographics.
Meeting the Demand for Specialized Scheduling
Surgical consultations often require more complex scheduling than a standard cleaning. Patients calling Allied OMS may have urgent questions about procedures, insurance coverage for surgery, or pre-op instructions. Arini's patient communication AI can be trained to handle these specific, complex inquiries, freeing up Allied OMS's clinical staff to focus on patient care while ensuring no call goes unanswered.
4. Aspen Dental – A National Brand with a Focus on Accessibility
Aspen Dental is a household name with over 1,000 locations across the country, known for providing accessible, affordable dental care, including services like dentures and dental implants. Their strong national brand and focus on urban and suburban markets make them a likely and active participant in the Austin metro area.
Why Aspen Dental Appeals to Austin's Growth
- Brand Recognition: Their national marketing campaigns create strong awareness, driving a high volume of inbound calls from potential patients.
- Focus on New Patients: Aspen's model is heavily geared toward acquiring new patients, which is a perfect fit for a market with a constant influx of new residents.
- Emergency Care: They often offer emergency dental services, a key offering for a young, active population.
The Peril of High Call Volume
A high-volume call center can be expensive and still struggle with peak times and after-hours calls. For a brand like Aspen, which relies on converting calls into appointments, a missed call is a direct threat to its growth model. Arini's platform provides a cost-effective, 24/7 solution that can handle high call volumes, answer basic questions, and book appointments, ensuring that every marketing dollar spent in Austin yields a return.
5. MB2 Dental – A Texas Powerhouse for Dentist Partnerships
MB2 Dental is a Dallas-based DSO and one of the largest dental partnership organizations in the U.S. Their model is unique in that it helps dentists become owner-operators, providing the capital and support to grow their practices. Their presence in Killeen, just 60 miles from Austin, strongly suggests they are actively expanding into the Central Texas corridor.
Why MB2 is a Strategic Austin Contender
- Texas Roots: Being headquartered in Texas gives them a strategic advantage in understanding and serving the local market.
- Dentist-Centric Model: By empowering dentists as owners, they can attract high-quality clinicians who are invested in their practice's success, a key factor in a competitive market.
- Growth-Oriented: Their partnership model is designed for rapid, strategic expansion, making them a natural fit for a high-growth area like Austin.
Driving Efficiency for Partner Practices
For a new MB2 partner practice in Cedar Park, operational efficiency is paramount. The front desk team is often small and can be overwhelmed by routine calls. By implementing Arini's AI receptionist with seamless PMS integration (like OpenDental or Dentrix), the practice can automate appointment scheduling and route complex calls to the right human staff, allowing the team to focus on in-office patient experience and driving revenue.
6. Western Dental & Smile Brands (Castle/Monarch) – Family-Focused Care
Western Dental and Smile Brands (which operates under the Castle Dental and Monarch Dental brands in Texas) are major national DSOs with a strong focus on family dentistry and multi-specialty services like orthodontics. Their extensive presence in Texas urban and suburban markets makes them a near-certainty in the Austin metro.
Why They Serve Austin's Young Families
- Family-Centric Model: They offer a wide range of services under one roof, which is highly convenient for families with children in Georgetown or busy parents in Round Rock.
- Pediatric Dentistry: Many of their locations offer dedicated pediatric services, a critical need in a family-heavy market.
- Brand Penetration: Their local Texas brands (Castle/Monarch) are well-established, creating a trusted local presence.
The After-Hours Scheduling Need
A parent working a 9-to-5 job in Austin may only have time to call for a child's appointment after 6 PM. If the office is closed, that opportunity is lost. Arini's platform, which provides 24/7 call answering, captures these after-hours leads and books them for the next available slot, turning a missed call into a guaranteed chair fill.
Bridging the Digital Divide: Why Austin DSOs Need AI
The common thread among all these DSOs is their need to operate efficiently at scale in a demanding, tech-savvy market. The modern Austin patient's journey often starts online—reading reviews, checking a practice's website, or clicking a Google ad—before picking up the phone to book. This is where the critical conversion gap exists.
A patient who has to leave a voicemail or wait on hold is likely to hang up and call a competitor. In a market with a median age of 34.8, where digital convenience is the baseline expectation, this friction is unacceptable. Arini's AI receptionist is built to eliminate this friction. It answers every call instantly, just like a live human, but with the superpowers of a machine: it never sleeps, never takes a break, and can book appointments directly into the practice's management software in real-time.
For a DSO managing dozens of locations across Austin, Round Rock, Cedar Park, and Georgetown, Arini provides a unified, branded patient experience that ensures no lead is ever lost, driving significant revenue growth for dental groups while simultaneously driving operational efficiency.
Frequently Asked Questions
How does Arini.ai specifically address the needs of DSOs with multiple locations in the Austin area?
Arini's platform is built for multi-location dental groups. It offers smart call routing to direct patients to the correct local practice, a unified knowledge base for consistent messaging across all locations, and a centralized dashboard for analytics and reporting that gives DSO leadership a clear view of call volume, conversion rates, and revenue impact across their entire portfolio.
Is Arini.ai HIPAA compliant and how does it secure patient data during interactions?
Yes, Arini is fully HIPAA compliant. The platform uses secure, encrypted connections for all data transmission and follows a strict data minimization policy, only collecting the information necessary to schedule an appointment or answer a patient's question. All PMS integrations are also secured to protect patient health information.
How quickly can Arini.ai be integrated with existing dental practice management software?
Arini offers seamless, one-click integrations with all major dental PMS platforms, including OpenDental, Dentrix, EagleSoft, and Denticon. The implementation process is designed to be quick and non-disruptive, often getting a practice live within a matter of days.
Can Arini.ai handle complex patient inquiries beyond basic scheduling, such as insurance questions?
Absolutely. Arini's patient communication AI is highly customizable. DSOs can train the AI on their specific insurance plans, billing policies, office protocols, and even post-operative instructions. This allows the AI to handle a wide range of complex inquiries, only escalating to a human agent when absolutely necessary.
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