What Every Dentist Needs to Know About DSOs Before Opening a Startup

What Every Dentist Needs to Know About DSOs Before Opening a Startup

In today’s fast-shifting dental landscape, the rise of group practices and DSOs (Dental Support Organizations) is impossible to ignore. If you’re planning to open your own practice, understanding what this means for private practice owners is no longer optional—it’s essential.

That’s why I sat down with one of the most respected insiders in the DSO world, someone who’s seen the trajectory of group dentistry from the front lines. Together, we unpacked what these changes really mean for you—especially if private practice ownership is in your future.

Here’s what you need to know.

The State of DSOs: Why This Matters to Your Startup

Let’s be clear: DSOs aren’t just expanding—they’re transforming the rules of engagement for dentists across the country. They’ve got scale, systems, and serious capital. But the good news? Private practice is far from dead. In fact, it’s thriving… when you know how to position yourself wisely.

In this conversation, we explore:

• The surprising data behind today’s DSO trends—and what they mean for solo practices

• What the “40 Practice Benchmark” actually tells us (hint: it’s not just for corporate players)

• Real examples of when DSOs support dentists—and when to be cautious

• How private equity is reshaping practice ownership…and how to stay ahead of it

• Tactical ways to protect your practice from DSO saturation in your town

Should You Compete with Corporate? Or Carve a Different Path?

This is where it gets real. If you’re preparing for your startup journey, you’re not just opening doors—you’re building a long-term career. So the question isn’t whether corporate dentistry is here to stay (it is). The question is: how will you differentiate?

You’ll hear us break down:

• The three profitability scenarios you need to consider

• When patients win with DSOs—and when they don’t

• How to build an independent practice that patients choose, even with a DSO next door

Looking to Future-Proof Your Startup?

Startups are complex. Add the DSO factor, and it’s no wonder so many doctors are seeking clarity. That’s why we created the Startup Practice Blueprint—a closed-door training designed specifically for dentists who want to open strong, scale smart, and stay independent.

We’ll walk you through the real strategies behind 900+ successful startups. It’s where you get the tools to thrive, not just survive, in a DSO-dominated world.

Want to Go Deeper? Here’s What to Do Next:

• Subscribe to the Ideal Practices Podcast for more behind-the-scenes conversations like this one

• Join the conversation on Facebook and ask your questions live

Bottom line: DSOs aren’t the enemy—but they are a force. With the right planning and positioning, your startup can stand out and succeed on your terms. Let’s build something extraordinary.