Dental Access · 8 min read

Dentist Shortage in America

HRSA publishes federal dental Health Professional Shortage Area (HPSA) designations: a source-defined record of provider-shortage criteria, not proof of appointment availability, insurance acceptance, or care quality.

This guide is about shortage data, not urgent triage. If you believe you are experiencing a dental or medical emergency, call 911 or seek emergency care.

The short answer

HRSA separately designates dental HPSAs, but a designation is a federal shortage measure, not proof of a clinic's services, price, insurance acceptance, or appointment availability. According to the HRSA Data Warehouse, the live figures below describe federal provider-supply designations, not care quality or appointment availability.

By the numbers

The dental gap, by the numbers

37.4%
U.S. residents in a shortage area
8,233
Active HPSA designations
25,866
Providers needed to clear them

States with the most active HPSA designations

Total active Health Professional Shortage Area designations across primary care, mental health and dental, HRSA Data Warehouse

designations
Source HRSA Data Warehouse, Health Professional Shortage Areas As of August 2026

Find dental shortage counties

The 150 counties with the highest dental HPSA scores on file. Filter by state, by minimum score, or by name, then open a county for its full designation record.

Showing 150 of 150 counties

CountyStateHPSA scoreCounty population
Palm Beach CountyFL261,492,191
Orange CountyFL261,429,908
Honolulu CountyHI261,016,508
Duval CountyFL26995,567
Marion CountyIN26977,203
Prince George's CountyMD26967,201
Pinellas CountyFL26959,107
Multnomah CountyOR26815,428
Lee CountyFL26760,822
Polk CountyFL26725,046
Bernalillo CountyNM26676,444
Baltimore City CountyMD26585,708
Pasco CountyFL26561,891
Volusia CountyFL26553,543
Passaic CountyNJ26524,118
Sonoma CountyCA26488,863
Washoe CountyNV26486,492
Tulare CountyCA26473,117
Sarasota CountyFL26434,006
Hillsborough CountyNH26422,937
Orange CountyNY26401,310
Rockland CountyNY26338,329
Albany CountyNY26314,848
Leon CountyFL26292,198
Frederick CountyMD26271,717
Clermont CountyOH26208,601
Hawaii CountyHI26200,629
Saginaw CountyMI26190,124
Bay CountyFL26175,216
Maui CountyHI26164,754
Yellowstone CountyMT26164,731
Hampshire CountyMA26162,308
Ouachita CountyLA26160,368
Indian River CountyFL26159,788
Guam CountyGU26153,836
Orange CountyNC26148,696
Sumter CountyFL26129,752
Chautauqua CountyNY26127,657
Berkeley CountyWV26122,076
Wicomico CountyMD26103,588
Allen CountyOH26102,206
Van Buren CountyMI2675,587
Putnam CountyFL2673,321
Mayaguez CountyPR2673,077
Iberia CountyLA2669,929
Klamath CountyOR2669,413
Jefferson CountyAR2667,260
Carson City CountyNV2658,639
Hancock CountyME2655,478
Lincoln CountyOR2650,395
Saipan CountyMP2643,385
St. Thomas CountyVI2642,261
St. Croix CountyVI2641,004
San Sebastian CountyPR2639,345
Moca CountyPR2637,460
Corozal CountyPR2634,571
Western CountyAS2631,819
Washington CountyME2631,095
Utuado CountyPR2628,287
Lares CountyPR2628,105
Morehouse CountyLA2625,629
Loiza CountyPR2623,693
Lajas CountyPR2623,334
Orocovis CountyPR2621,434
Logan CountyAR2621,131
Pointe Coupee CountyLA2620,758
Penuelas CountyPR2620,399
Polk CountyAR2619,221
McDowell CountyWV2619,111
Comerio CountyPR2618,883
Bethel CountyAK2618,666
Adjuntas CountyPR2618,020
Guayanilla CountyPR2617,784
Drew CountyAR2617,350
Eastern CountyAS2617,059
Ciales CountyPR2616,984
Jackson CountyLA2615,031
Jayuya CountyPR2614,779
Clay CountyAR2614,552
Guanica CountyPR2613,787
Hughes CountyOK2613,367
Florida CountyPR2611,692
Nome CountyAK2610,046
Lee CountyAR268,600
Vieques CountyPR268,249
Searcy CountyAR267,828
Stewart CountyGA265,314
Maricao CountyPR264,755
Corson CountySD263,902
Sioux CountyND263,898
Jackson CountySD262,806
Tinian CountyMP262,044
Rota CountyMP261,893
Manu'a CountyAS26832
Northern Islands CountyMP267
Mili CountyMH26Not on file
Bikar CountyMH26Not on file
Erikub CountyMH26Not on file
Arno CountyMH26Not on file
Rongrik CountyMH26Not on file
Bikini CountyMH26Not on file
Jemo CountyMH26Not on file
Ailinglaplap CountyMH26Not on file
Ujae CountyMH26Not on file
Ebon CountyMH26Not on file
Kwajalein CountyMH26Not on file
Ailuk CountyMH26Not on file
Ujelang CountyMH26Not on file
Enewetak CountyMH26Not on file
Namorik CountyMH26Not on file
Maloelap CountyMH26Not on file
Namu CountyMH26Not on file
Mejit CountyMH26Not on file
Jaluit CountyMH26Not on file
Rongelap CountyMH26Not on file
Utrik CountyMH26Not on file
Ailinginae CountyMH26Not on file
Wotho CountyMH26Not on file
Likiep CountyMH26Not on file
Wotje CountyMH26Not on file
Toke CountyMH26Not on file
Lae CountyMH26Not on file
Majuro CountyMH26Not on file
Lib CountyMH26Not on file
Jabat CountyMH26Not on file
Aur CountyMH26Not on file
Kosrae CountyFM26Not on file
Chuuk CountyFM26Not on file
Pohnpei CountyFM26Not on file
Yap CountyFM26Not on file
Rose Island CountyAS26Not on file
Swains Island CountyAS26Not on file
Peleliu CountyPW26Not on file
Ngardmau CountyPW26Not on file
Angaur CountyPW26Not on file
Ngatpang CountyPW26Not on file
Ngchesar CountyPW26Not on file
Kayangel CountyPW26Not on file
Melekeok CountyPW26Not on file
Ngaraard CountyPW26Not on file
Ngarchelong CountyPW26Not on file
Airai CountyPW26Not on file
Sonsorol CountyPW26Not on file
Ngernmlengui CountyPW26Not on file
Hatoboheit CountyPW26Not on file
Ngiwal CountyPW26Not on file
Aimeliik CountyPW26Not on file
Koror CountyPW26Not on file
Not Determined CountyMH26Not on file
Bokak CountyMH26Not on file

Source: HRSA Data Warehouse designation records, the same extract behind every county page here (download it). A HPSA score is HRSA's designation severity on a 0–26 scale for dental care; a higher score means HRSA scored the area as a greater shortage. It does not tell you whether a specific provider has an opening, accepts your insurance, or offers the service you need. Confirm care options with an official directory and the provider.

Key Takeaway

HRSA's quarterly summary reports a national dental-HPSA population total. That total describes the population in federal designation records; it does not tell you whether a specific dentist has an opening, accepts your coverage, or offers the service you need.

The Scale of the Dental Shortage

HRSA designates Health Professional Shortage Areas (HPSAs) in primary care, dental health, and mental health. An HPSA can be a geographic area, a population group, or a facility. HRSA uses its designation and scoring process for federal program eligibility and priority; it is not a personal-care recommendation or a real-time provider directory.

The designation record can help you understand the federal shortage category recorded for an area. Browse the dental shortage rankings or check your county record, then use HRSA's official tools and contact a clinic to confirm current services.

What the designation can and cannot tell you

A dental HPSA is useful context, but it is not a verdict on an individual's care options. It does not establish a travel time, wait time, cost, insurance acceptance, quality of care, or whether a particular dentist is accepting new patients.

Use the official record for the designation

HRSA's Find Shortage Areas tool is the authoritative place to check a current HPSA record. The federal data can change, so treat this site's county and state pages as a readable reference rather than a replacement for a provider or benefits confirmation.

Finding and verifying local dental services

Start with an official local-service search, then call before relying on a result. Availability, insurance participation, fees, and urgent-care policies are clinic-specific.

  • Health centers - Use the HRSA Health Center Finder to search by location. Confirm that the listed site offers dental services and ask about current intake, fees, and coverage.
  • Coverage questions - Check your state Medicaid agency or HealthCare.gov for current coverage and enrollment information. Benefits and provider networks vary by plan and state.
  • Urgent symptoms - This guide cannot assess an emergency. If you believe you are experiencing a medical emergency, call 911 or seek emergency care.

How to Find Dental Care in a Shortage Area

This portal's role is to explain the designation data, not to infer your care pathway. A directory result should always be confirmed directly with the provider.

For a broader guide to finding all types of healthcare in shortage areas, see our guide on finding care in a shortage area. To understand how shortage areas are designated and scored, see understanding HPSAs.

Frequently Asked Questions

How many Americans live in a dental shortage area?

HRSA publishes a quarterly HPSA summary with a national dental-HPSA population total. That is a designation population, not a count of people unable to get an appointment or afford care; HRSA updates the underlying data regularly.

Why is the dental shortage different from other healthcare shortages?

HRSA records dental, primary-care, and mental-health HPSAs as separate shortage-designation categories. A dental HPSA reflects HRSA's designation criteria and priority score; it is not a complete measure of local insurance networks, prices, appointment availability, or care quality.

Does dental health affect overall health?

This portal reports shortage designations, not individual health outcomes or medical advice. For symptoms, urgency, treatment, or prevention questions, contact a qualified clinician or dental professional.

What is the NHSC doing about the dental shortage?

The National Health Service Corps is a federal workforce program that uses shortage designations in program eligibility and priority decisions. It does not guarantee that a particular clinician, service, or appointment is available in a particular area.

Can dental therapists help solve the shortage?

Provider-scope rules and local service availability are set by states and providers. This HPSA dataset does not measure which professionals are available at a particular clinic; use an official local directory and contact the provider to confirm services.

Sources: HRSA Health Workforce Shortage Areas, March 2026 HPSA quarterly summary, and HRSA shortage-designation guidance. Last verified July 26, 2026. PlainHealthAccess is not affiliated with HRSA. This guide is for informational purposes only and does not constitute medical or dental advice.

Every figure on PlainHealthAccess is rendered directly from HRSA source data, figures are sourced from HRSA publications and verified against primary sources. This guide analyzes dental HPSA designation counts by state from the live snapshot and links to the site's paired-release change surfaces where relevant. It does not treat record moves as care-outcome trends. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page.